Stay strong, stay healthy: exploring a predictive model of psychological adaptation among Macau students studying in Mainland China within the postcolonial context.

The prevailing research on adaptation primarily centers around the settlement of international students and immigrants in different cultural environments. However, there is a notable gap in understanding the intra-cultural adaptation process for individuals from postcolonial areas when relocating to their home country. The primary focus of the current study lies in constructing a predictive model that delineates the psychological adaptation experienced by Macau students studying in Mainland China. In total, two hundred and fifty-five Macau students completed a questionnaire which assessed variables falling into two categories: identity-related variables, such as language proficiency and identity, and intergroup-related variables, including intergroup contact and the quality of contact, and psychological adaptation. The findings from the present study revealed that identity and quality of contact continued to make significant contributions to psychological adaptation in intra-cultural environments as in inter-cultural environments, whereas language proficiency and intergroup contact were unrelated to psychological adaptation in intra-cultural adaptation. The present study extended the adaptation research by transporting hypotheses and findings from inter-cultural adaptation and testing their validity and applicability in postcolonial contexts. The findings also provided practical implications for Chinese education institutions and policy-makers.

Infections and Influencing Factors of Pathogens in Rattus norvegicus along the Zengjiang River in Guangzhou, China.

Background: Rattus norvegicus can carry and transmit various zoonotic pathogens. Some studies were conducted to investigate a few zoonotic pathogens in Guangzhou, China, but no coinfections were investigated or specifically mentioned. Studies on the infections and the influencing factors of various zoonotic pathogens in R. norvegicus along the Zengjiang River in Guangzhou have not been carried out. Materials and Methods: In this study, R. norvegicus was captured in November 2020 and September 2021 along the Zengjiang River, and was tested for Bartonella spp., Leptospira spp., Orientia tsutsugamushi, Borrelia burgdorferi, Hantavirus (HV), Ehrlichia spp., and severe fever with thrombocytopenia syndrome virus (SFTSV) by the RT-PCR. Logistic regression analysis was used to determine the impact of habitat and demographic factors on the infections and coinfections of the surveyed pathogens. Results: In 119 R. norvegicus, the detection rates of Bartonella spp., Leptospira spp., O. tsutsugamushi, B. burgdorferi, and HV were 46.2%, 31.9%, 5%, 0.8%, and 18.5%, respectively. Ehrlichia spp. and SFTSV were negative. The triple coinfection rate of Bartonella spp., Leptospira spp., and HV was 11.8%. In addition, the coinfection of Bartonella spp., Leptospira spp., and B. burgdorferi was 0.8%. Dual coinfection of Bartonella spp. and Leptospira spp., Leptospira spp. and HV, Bartonella spp. and O. tsutsugamushi, Leptospira spp. and O. tsutsugamushi, and HV and O. tsutsugamushi was 9.2%, 3.4%, 1.7%, 1.7%, and 0.8%, respectively. Infections of these pathogens in R. norvegicus were found in habitats of banana plantation, grassland, and bush. Weight affected the infection of Bartonella spp., Leptospira spp., or HV in R. norvegicus. Conclusions: R. norvegicus along the Zengjiang River not only carried various potentially zoonotic pathogens but also had a variety of coinfections. Surveillance of the density and pathogens in R. norvegicus should be strengthened to reduce the incidence of relevant zoonotic diseases.

Influence of Galvanic Interaction between the Iron Grinding Medium and Chalcopyrite on Collectorless Flotation Behavior of Chalcopyrite: Experimental and Density Functional Theory Study.

The eco-friendly flotation process for chalcopyrite is economically significant and promotes sustainable development in mining. Collectorless flotation is a green and clean method for chalcopyrite utilization, but galvanic interactions during the grinding process can affect the surface structure, chemical composition, and electrochemical properties, impacting collectorless flotation recovery. This article uses a self-made device and flotation experiments to study galvanic interactions and their effects on surface oxidation and collectorless flotation behavior under different grinding conditions (including mineral particle size, slurry water content, pressure, and galvanic interaction time). The impact of galvanic interaction on the surface chemical composition and electrochemical properties of chalcopyrite is studied using high-performance liquid chromatography (HPLC), X-ray photoelectron spectroscopy (XPS), and electrochemical tests. Additionally, the effect of the galvanic interaction on the surface structure is analyzed with density functional theory. XPS and HPLC results show that iron grinding media contact with chalcopyrite, reducing elemental sulfur content of the chalcopyrite surface, improving hydrophilicity, and decreasing chalcopyrite collectorless flotation recovery. Grinding conditions, such as mineral particle size, slurry water content, and galvanic interaction time, significantly impact collectorless flotation and can be regulated to optimize results.

Construction and Properties of High-Toughness Soft-Soft Interfaces Based on the Adhesion of Natural Polyphenols.

Artificial joint replacement is the most effective way to treat osteoarthritis. However, these artificial joints are too stiff with high interfacial contact stress and poor surface lubrication, resulting in stress shielding and severe wear and tear lead to an extremely high failure rate. At present, hydrogels are considered the most promising substitute for artificial joint prostheses owing to their good biocompatibility, adjustable mechanical properties, and excellent flexibility. Nevertheless, a traditional single-layer hydrogel has poor bearing capacity and lubrication, which are far from the properties of natural articular cartilage. The high strength and low friction properties of natural articular cartilage are based on its own multilayer fibrous structure. Therefore, by simulating the multilayer structure of natural cartilage, a bilayer bionic cartilage hydrogel was prepared; that is, the upper hydrogel realized excellent lubrication and the lower hydrogel realized high load-bearing capacity. However, the interface binding of bilayer hydrogels is a challenge at present. Therefore, the interfacial adhesion of the bilayer hydrogel is improved by adding tannic acid (TA) based on the adhesion of the natural polyphenol structure. The average interfacial toughness reaches 3650 J/m2, and the average interfacial shear force reaches 800 kPa. In the preparation of the bilayer hydrogel, taking advantage of the coordination reaction between TA and metal cations, Fe3+ is further added to endow the bilayer hydrogel with excellent mechanical properties and good sliding friction performance. Therefore, this work opens up a new way to construct cartilage-like materials with high toughness and a soft-soft interface.

Integrative application of biochar and arbuscular mycorrhizal fungi for enhanced chromium resistance in Medicago sativa.

Soil chromium (Cr) contamination has become an environmental problem of global concern. However, the joint effects of combined utilization of biochar and arbuscular mycorrhizal (AM) fungal inoculum, which are considered as two promising remediation strategies of soil heavy metal pollutions, on plant Cr resistance are still poorly understood. In this study, a two-factor pot experiment was conducted to investigate how biochar and AM fungus Rhizophagus irregularis regulate Medicago sativa growth, physiological trait, nutrient and Cr uptake, relevant gene expressions, soil properties, and Cr speciation, independently or synergistically. The results showed that biochar notably decreased AM colonization, while biochar and AM fungus could simultaneously increase plant dry biomass. The greatest growth promotion was observed in mycorrhizal shoots at the highest biochar level (50 g kg-1 soil) by 91 times. Both biochar application and AM fungal inoculation enhanced plant photosynthesis and P nutrition, but the promoting effects of AM fungus on them were significantly greater than that of biochar. In addition, the combined application of biochar and AM fungus dramatically reduced shoot and root Cr concentrations by up to 92 % and 78 %, respectively, compared to the non-amended treatment. Meanwhile, down-regulated expressions were observed for metal chelating-related genes. Furthermore, Cr translocation from roots to shoots was reduced by both two soil amendments. Transcriptional levels of genes involved in reactive oxygen species and proline metabolisms were also regulated by biochar application and AM fungal colonization, leading to alleviation of Cr phytotoxicity. Furthermore, AM fungal inoculation slightly elevated soil pH but decreased plant-available soil P, which was, by contrast, lifted by biochar addition. The combined application reduced soil acid-extractable Cr concentration by 40 %. This study provides new insights into comprehensively understanding of the mechanisms of biochar and AM fungi combination on improving plant Cr tolerance.

Acupoint catgut embedding for chronic non-specific low back pain: A protocol of randomized controlled trial.

Chronic non-specific low back pain (CNLBP) is one of the leading causes of disability worldwide. Acupoint embedding (ACE) is widely used in China for the treatment of chronic non-specific low back pain, but there are no rigorous randomized controlled trials (RCTs) to confirm the effectiveness and safety of ACE for chronic non-specific low back pain. In this study, we design a single-center, single-blind, prospective RCT, with the aim of evaluating the efficacy and safety of ACE for CNLBP. 82 participants with CNLBP will be randomized in a 1:1 ratio into an ACE group and a sham ACE group. Participants will receive either ACE treatment or sham ACE treatment at once every 2 weeks, for an 8-week period, and followed by 6 months of follow-up. The primary outcome will be the change in visual analog scale (VAS) scores before and after treatment. Secondary outcomes will include the Oswestry Disability Index (ODI), the Roland Morris Disability Questionnaire (RMDQ) and the Short Form 36-Health Survey (SF-36). Adverse events that occur during the course of the trial will be recorded. Data will be analyzed according to a predefined statistical analysis plan. This study was approved by the medical ethics committee of Guangzhou Panyu Hospital of Chinese Medicine (202230). Written informed consent from patients is required. This trial is registered in the Chinese Clinical Trial Registry (ChiCTR2200059245). Trial results will be published in a peer-reviewed academic journal. Clinical trial registration: https://www.chictr.org.cn, identifier ChiCTR2200059245.

Does environmental psychology matter: role of green finance and government spending for sustainable development.

Over 30% of the global GDP and 60% of the worldwide population are involved in the Belt and Road Initiative (BRI), making it one of the greatest development projects in the world. If infrastructure developments in BRI countries are successful, economic growth in those nations will increase dramatically. Using data from 2005 to 2020, this research examines the relationships between environmental psychology, green finance, and sustainable development and variables such as GDP per capita and its square, green financing, government expenditure, and human capital in 57 strategically chosen BRI economies. Economists used cutting-edge techniques that take into account multiple variables at once in their analysis, such as cross-sectional dependence, unit root testing, co-integration analysis, IFE estimation, dynamic panel data (DCCE), and generalized method of moments (system GMM). The findings indicate that green financing, government spending, and GDP per capita squared reduce emissions of carbon dioxide. In this analysis, the level of human capital is similar to GDP per capita in its beneficial effect on carbon emissions. Carbon emissions are negatively impacted by government spending, which has a minor effect on GDP per capita, green financing, and human capital. Using the results of this study, the authors offer recommendations for how a country can reduce its carbon output.

VV116 versus Nirmatrelvir-Ritonavir for Oral Treatment of Covid-19.

BACKGROUND: Nirmatrelvir-ritonavir has been authorized for emergency use by many countries for the treatment of coronavirus disease 2019 (Covid-19). However, the supply falls short of the global demand, which creates a need for more options. VV116 is an oral antiviral agent with potent activity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). METHODS: We conducted a phase 3, noninferiority, observer-blinded, randomized trial during the outbreak caused by the B.1.1.529 (omicron) variant of SARS-CoV-2. Symptomatic adults with mild-to-moderate Covid-19 with a high risk of progression were assigned to receive a 5-day course of either VV116 or nirmatrelvir-ritonavir. The primary end point was the time to sustained clinical recovery through day 28. Sustained clinical recovery was defined as the alleviation of all Covid-19-related target symptoms to a total score of 0 or 1 for the sum of each symptom (on a scale from 0 to 3, with higher scores indicating greater severity; total scores on the 11-item scale range from 0 to 33) for 2 consecutive days. A lower boundary of the two-sided 95% confidence interval for the hazard ratio of more than 0.8 was considered to indicate noninferiority (with a hazard ratio of >1 indicating a shorter time to sustained clinical recovery with VV116 than with nirmatrelvir-ritonavir). RESULTS: A total of 822 participants underwent randomization, and 771 received VV116 (384 participants) or nirmatrelvir-ritonavir (387 participants). The noninferiority of VV116 to nirmatrelvir-ritonavir with respect to the time to sustained clinical recovery was established in the primary analysis (hazard ratio, 1.17; 95% confidence interval [CI], 1.01 to 1.35) and was maintained in the final analysis (median, 4 days with VV116 and 5 days with nirmatrelvir-ritonavir; hazard ratio, 1.17; 95% CI, 1.02 to 1.36). In the final analysis, the time to sustained symptom resolution (score of 0 for each of the 11 Covid-19-related target symptoms for 2 consecutive days) and to a first negative SARS-CoV-2 test did not differ substantially between the two groups. No participants in either group had died or had had progression to severe Covid-19 by day 28. The incidence of adverse events was lower in the VV116 group than in the nirmatrelvir-ritonavir group (67.4% vs. 77.3%). CONCLUSIONS: Among adults with mild-to-moderate Covid-19 who were at risk for progression, VV116 was noninferior to nirmatrelvir-ritonavir with respect to the time to sustained clinical recovery, with fewer safety concerns. (Funded by Vigonvita Life Sciences and others; ClinicalTrials.gov number, NCT05341609; Chinese Clinical Trial Registry number, ChiCTR2200057856.).

A New Orientation Detection Method for Tilting Insulators Incorporating Angle Regression and Priori Constraints.

The accurate detection of insulators is an important prerequisite for insulator fault diagnosis. To solve the problem of background interference and overlap caused by the axis-aligned bounding boxes in the tilting insulator detection tasks, we construct an improved detection architecture according to the scale and tilt features of the insulators from several perspectives, such as bounding box representation, loss function, and anchor box construction. A new orientation detection method for tilting insulators based on angle regression and priori constraints is put forward in this paper. Ablation tests and comparative validation tests were conducted on a self-built aerial insulator image dataset. The results show that the detection accuracy of our model was increased by 7.98% compared with that of the baseline, and the overall detection accuracy reached 82.33%. Moreover, the detection effect of our method was better than that of the YOLOv5 detection model and other orientation detection models. Our model provides a new idea for the accurate orientation detection of insulators.

Design of large-span stick-slip freely switchable hydrogels via dynamic multiscale contact synergy.

Solid matter that can rapidly and reversibly switch between adhesive and non-adhesive states is desired in many technological domains including climbing robotics, actuators, wound dressings, and bioelectronics due to the ability for on-demand attachment and detachment. For most types of smart adhesive materials, however, reversible switching occurs only at narrow scales (nanoscale or microscale), which limits the realization of interchangeable surfaces with distinct adhesive states. Here, we report the design of a switchable adhesive hydrogel via dynamic multiscale contact synergy, termed as DMCS-hydrogel. The hydrogel rapidly switches between slippery (friction ~0.04 N/cm2) and sticky (adhesion ~3 N/cm2) states in the solid-solid contact process, exhibits large span, is switchable and dynamic, and features rapid adhesive switching. The design strategy of this material has wide applications ranging from programmable adhesive materials to intelligent devices.

Diversity and distribution of CO2-fixing microbial community along elevation gradients in meadow soils on the Tibetan Plateau.

Soil CO2-fixing microbes play a significant role in CO2-fixation in the terrestrial ecosystems, particularly in the Tibetan Plateau. To understand carbon sequestration by soil CO2-fixing microbes and the carbon cycling in alpine meadow soils, microbial diversity and their driving environmental factors were explored along an elevation gradient from 3900 to 5100 m, on both east and west slopes of Mila Mountain region on the Tibetan Plateau. The CO2-fixing microbial communities were characterized by high-throughput sequencing targeting the cbbL gene, encoding the large subunit for the CO2-fixing protein ribulose 1, 5-bisphosphate carboxylase/oxygenase. The overall OTU (Operational Taxonomic Unit) abundance is concentrated at an altitude between 4300 and 4900 m. The diversity of CO2-fixing microbes is the highest in the middle altitude area, and on the east slope is higher than those on the west slope. In terms of microbial community composition, Proteobacteria is dominant, and the most abundant genera are Cupriavidus, Rhodobacter, Sulfurifustis and Thiobacillus. Altitude has the greatest influence on the structural characteristics of CO2-fixing microbes, and other environmental factors are significantly correlated with altitude. Therefore, altitude influences the structural characteristics of CO2-fixing microbes by driving environmental factors. Our results are helpful to understand the variation in soil microbial community and its role in soil carbon cycling along elevation gradients.

Consumption of processed food and risk of nasopharyngeal carcinoma: a systematic review and meta-analysis.

Background: Consumption of processed foods has been associated with nasopharyngeal carcinoma (NPC), but with inconsistent results. Therefore, we conducted a systematic review and meta-analysis to compute results regarding the association between processed foods and risk of NPC in included studies. Methods: Studies exploring the association between consumption of processed food and risk of NPC were included in the present study. All included studies were case-control or cohort designed. PubMed, Web of Science, EMBASE, Medline and Google Scholar databases were searched for articles published before July 2021. We recorded the following data: author, publication year, sample size, study type, study location, years of diagnosis, food item and comparison, and the covariates considered were multivariate adjusted odds ratios (ORs) or relative risks (RRs) with corresponding 95% confidence intervals (CIs) for the highest vs. lowest categories of processed food intake. STATA 12.0 software was used to compute the multivariate ORs or RRs and 95% CIs of the association. Quality appraisal was made using the Cochrane Risk of Bias Tool. Results: A meta-analysis was made for 29 case-control studies (including 14,378 NPC patients and 17,928 controls). The meta-analysis showed that the highest categories of processed food intake were associated with a 65% increase in NPC risk compared with the lowest categories in a random effects model (OR =1.67; 95% CI: 1.56-1.79; P value for Q test <0.001; I2=86.9%). Subgroup study showed significant positive associations regarding consumption of processed food and risk of NPC in both Asians and Caucasians (Asian: OR =1.68, 95% CI: 1.56-1.81; Caucasian: OR =1.36, 95% CI: 1.09-1.71). Conclusions: The association of processed foods with NPC risk might be significant. Further prospective studies and experimental research are needed to explore this relationship.

Bio-Tribology and Corrosion Behaviors of a Si- and N-Incorporated Diamond-like Carbon Film: A New Class of Protective Film for Ti6Al4V Artificial Implants.

Ti6Al4V artificial implants are increasingly demanded for addressing human dysfunction caused by an aging population and major diseases. However, they are restricted due to the release of vanadium and aluminum ions in the process of corrosion and wear. This work is aimed to provide a protective film for Ti6Al4V artificial implants, and then, a Si-incorporated diamond-like carbon (Si-DLC) film and Si- and N-incorporated DLC (SiN-DLC) film were deposited on the surface of Ti6Al4V by plasma-enhanced chemical vapor deposition. Results suggest that the thickness of the as-deposited DLC film is approximately 2 µm, and the SiN-DLC film shows the lowest surface roughness (53.0 ± 3.6 nm) compared with the Ti6Al4V and DLC films. The above DLC film possesses high mechanical properties compared with Ti6Al4V, and the SiN-DLC film shows the best resistance to plastic deformation. In addition, the DLC film exhibits high adhesive strength (>13 N) with Ti6Al4V, which is a prerequisite for service in liquid environments. Whether in SBF solution or SBF + BSA solution, the friction coefficient and wear rate of the above DLC film are much lower than those of Ti6Al4V, and the SiN-DLC film displays the optimal tribological properties (0.072 and 1.82 × 10-7 mm3·N-1·m-1, respectively). Moreover, Si-DLC and SiN-DLC films possess similar corrosion resistance but are far better than Ti6Al4V. Cytotoxicity test results show that the SiN-DLC film can significantly improve cell viability and promote cell proliferation to a certain extent. Consequently, the SiN-DLC film is a protective film with more potential for artificial implants.

The toxicity of hexavalent chromium to soil microbial processes concerning soil properties and aging time.

Chromium (Cr) pollution has attracted much attention due to its biological toxicity. However, little is known regarding Cr toxicity to soil microorganisms. The present study assesses the toxicity of Cr(VI) on two microbial processes, potential nitrification rate (PNR) and substrate-induced respiration (SIR), in a wide range of agricultural soils and detected the abundance of soil bacteria, fungi, ammonia-oxidizing bacteria and archaea. The toxicity thresholds of 10% and 50% effective concentrations (EC10 and EC50) for PNR varied by 32.18- and 38.66-fold among different soils, while for SIR they varied by 391.21- and 16.31-fold, respectively. Regression model analysis indicated that for PNR, CEC as a single factor explained 27% of the variation in EC10, with soil clay being the key factor explaining 47.3% of the variation in EC50. For SIR, organic matter and pH were found to be the most vital predictors for EC10 and EC50, explaining 34% and 61.1% of variation, respectively. In addition, extended aging time was found to significantly attenuate the toxicity of Cr on PNR. SIR was mainly driven by total bacteria rather than fungi, while PNR was driven by both AOA and AOB. These results were helpful in deriving soil Cr toxicity threshold based on microbial processes, and provided a theoretical foundation for ecological risk assessments and establishing a soil environmental quality criteria for Cr.

Congenital hemophilia A with low activity of factor XII: a case report and literature review.

BACKGROUND: Congenital hemophilia A is a recessive inherited hemorrhagic disorder. According to the activity of functional coagulation factors, the severity of hemophilia A is divided into three levels: mild, moderate and severe. The first bleeding episode in severe and moderate congenital hemophilia A occurs mostly in early childhood and mainly involves soft tissue and joint bleeds. At present, there are limited reports on severe congenital hemophilia A with low factor XII (FXII) activity during the neonatal period. CASE PRESENTATION: A 13-day-old neonate was admitted to the hospital with hematoma near the joints of both upper arms. Coagulation tests showed he had low activity of factor VIII (FVIII) and FXII. He was diagnosed with congenital hemophilia A and treated with human coagulation factor VIII (recombinant FVIII). Although the hematoma became smaller, FVIII activity was only increased to a certain extent and FXII activity decreased gradually. Unfortunately, the child responded poorly to recombinant human coagulation factor VIII and his guardian rejected prophylactic inhibitors and genetic testing and refused further treatment. Three months later, the child developed intracranial hemorrhage (ICH) due to low FVIII activity. CONCLUSIONS: In hemophilia A, the presence of FVIII inhibitors, drug concentration and testing are three important aspects that must be considered when FVIII activity does not reach the desired level. Early positive disease treatment and prophylaxis can decrease the frequency of bleeding and improve quality of life. We recommend that pregnant women with a family history of hemophilia A undergo early prenatal and neonatal genetic testing.

Transparent Janus Hydrogel Wet Adhesive for Underwater Self-Cleaning.

The optical window is a key part of a sensor specially used for oceanographic detection, but it is often severely affected by marine biofouling and oil pollution, resulting in reduced transparency and lifespan. Hydrogel, as a hydrophilic polymer network, has excellent antifouling effects with good transparency, but it is difficult to adhere to substrates, which greatly limits its practical applications. To solve the above problem, a transparent Janus hydrogel wet adhesive was prepared through modifying poly(vinyl alcohol)/glycerol-tannic acid/Cu2+ (PVA/Gly-TA/Cu2+) hydrogel with the underwater adhesive poly(dopamine methacrylamide-co-methoxyethyl acrylate) (P(DMA-co-MEA)) via the coordination effect between Cu2+ and catechol. Even when coated with adhesive, the sample still retained good transmittance. The presence of Cu2+ endowed the hydrogel with better tensile strength and, at the same time, can improve the adhesion of the hydrogel to the substrate through the coordination effect with the adhesive. The tensile stress of Janus hydrogels can even reach 4.4 MPa, and the adhesion strength of the obtained Janus hydrogel can reach about 14 kPa in seawater. Furthermore, the Cu-rich Janus hydrogel presented a significant inhibitory effect on the growth of surface algae. The oil contact angle of the Janus hydrogel was as high as 148° underwater. After the hydrogel was reswollen, there were lower algae densities on the surfaces of the hydrogel and little change in transparency. Considering the above properties, this novel Janus hydrogel is anticipated to be a promising protective material to solve the marine pollution problem confronting optical equipment.

Afterload-related reference values for myocardial work indices.

BACKGROUND: The novel noninvasive pressure-strain loop (PSL) is a reliable tool that reflects myocardial work (MW). Systolic blood pressure (SBP) is the only independent factor for MW indices. However, afterload-related reference values have not been previously reported. The aim of the present study was to establish reference values for MW parameters by wide range SBP grading. METHODS: We prospectively selected healthy individuals and subjects with SBP ≥ 140 mmHg at the time of study without myocardial remodeling. MW parameters were collected and the reference values achieved were grouped by SBP in 10-mmHg. RESULTS: Significant differences were noted among the SBP-groups for global work index (GWI) and global constructive work (GCW). The majority of statistical comparisons of the differences in GWI and GCW were significant at each SBP-group. With SBP ranging from 90 to 189 mmHg, the parameters GWI and GCW tended to increase linearly with afterload. Overall, the global wasted work (GWW) tended to rise as SBP was increased, but not all of the differences noted in GWW were significant for each SBP-group. Global work efficiency (GWE) remained stable across all SBP-groups, with the exception of a slight drop noted when it exceeded 160 mmHg. CONCLUSIONS: The amount of MW but not the work efficiency varied greatly according to the different afterload. This finding cannot be ignored during clinical research or diagnosis and afterload-related reference values are required to make a reasonable judgment on the myocardial function.

Rapid SARS-CoV-2 antigen detection potentiates early diagnosis of COVID-19 disease.

As the COVID-19 epidemic is still ongoing, a more rapid detection of SARS-CoV-2 infection such as viral antigen-detection needs to be evaluated for early diagnosis of COVID-19 disease. Here, we report the dynamic changes of SARS-CoV-2 viral antigens in nasopharyngeal swabs of COVID-19 patients and its association with the viral nucleic acid clearance and clinical outcomes. Eighty-five COVID-19 patients were enrolled for detection of SARS-CoV-2 viral antigens, including 57 anti-SARS-CoV-2 antibody negative cases and 28 antibody positive cases. The viral antigen could be detected in 52.63% (30/57) patients with SARS-CoV-2 antibody negative at the early stage of SARS-CoV-2 infection, especially in the first 5 days after disease onset (p = 0.0018) and disappeared in about 8 days after disease onset. Viral antigens were highly detectable in patients with low Ct value (less than 30) of SARS-CoV-2 nucleic acid RT-PCT assay, suggesting the expression of viral antigen was associated with high viral load. Furthermore, positive antigen detection indicated disease progression, nine cases with positive antigen (9/30, 30.0%), in contrast to two cases (2/27, 7.40%) (p = 0.0444) with negative antigen, which progressed into severe disease. Thus, the viral antigens were persistent in early stages of infection when virus was in highly replicating status, and viral antigen detection promises to rapidly screen positive patients in the early stage of SARS-CoV-2 infection.

Surgical strategies for glottic carcinoma with a giant thyroid tumor A case report and literature review.

Description of strategies for preventing surgical complications in the treatment of laryngeal carcinomas associated with giant thyroid cancer. For this study, the clinical data of an elderly patient with laryngeal carcinoma associated with a large thyroid tumor, diabetes and hypertension were used. The patient's tumor was removed with simultaneous surgery performed by the thyroid surgery department and the laryngeal surgery department; the patient was followed for more than 3 years and the scars of tracheal granulation and laryngeal adhesions were removed with repeated laser interventions. The literature review was carried out on the Wanfang database, on the China How Net database and on the MEDLINE database via Computer. The final research keywords used for the study were "squamous cell carcinoma" and "glottis" or "larynx" / "larynx", "surgery", "thyroid cancer" and "simultaneous surgery". RESULTS: After completion of the intervention, the nasogastric tube and tracheal cannula were successfully removed, the glottis was successfully reconstituted and oral respiration, phonation and oral feeding were normally resumed. CONCLUSION: The multidisciplinary approach for the simultaneous removal of a laryngeal carcinoma associated with a bulky thyroid tumor in elderly subjects with multi-system and multi-organ damage has been successfully implemented. There are only a few such cases presented in the literature to illustrate risk prevention strategies for postoperative complications, including postoperative infection, extubation difficulties and loss of speech, which deserve to be known. KEY WORDS: Glottic carcinoma, Thyroid tumor, Laser surgery multidisciplinary, Tracheal cannula, Vocal cords.