Clinical and epidemiological characteristics of 96 pediatric human metapneumovirus infections in Henan, China after COVID-19 pandemic: a retrospective analysis.

BACKGROUND: In the aftermath of the COVID-19 pandemic, there has been a surge in human metapneumovirus (HMPV) transmission, surpassing pre-epidemic levels. We aim to elucidate the clinical and epidemiological characteristics of HMPV infections in the post-COVID-19 pandemic era. METHODS: In this retrospective single-center study, participants diagnosed with laboratory confirmed HMPV infection through Targeted Next Generation Sequencing were included. The study encompassed individuals admitted to Henan Children's Hospital between April 29 and June 5, 2023. Demographic information, clinical records, and laboratory indicators were analyzed. RESULTS: Between April 29 and June 5, 2023, 96 pediatric patients were identified as infected with HMPV with a median age of 33.5 months (interquartile range, 12 ~ 48 months). The majority (87.5%) of infected children were under 5 years old. Notably, severe cases were statistically younger. Predominant symptoms included fever (81.3%) and cough (92.7%), with wheezing more prevalent in the severe group (56% vs 21.1%). Coinfection with other viruses was observed in 43 patients, with Epstein-Barr virus (EBV) (15.6%) or human rhinovirus A (HRV type A) (12.5%) being the most common. Human respiratory syncytial virus (HRSV) coinfection rate was significantly higher in the severe group (20% vs 1.4%). Bacterial coinfection occurred in 74 patients, with Haemophilus influenzae (Hin) and Streptococcus pneumoniae (SNP) being the most prevalent (52.1% and 41.7%, respectively). Severe patients demonstrated evidence of multi-organ damage. Noteworthy alterations included lower concentration of IL-12p70, decreased lymphocytes percentages, and elevated B lymphocyte percentages in severe cases, with statistical significance. Moreover, most laboratory indicators exhibited significant changes approximately 4 to 5 days after onset. CONCLUSIONS: Our data systemically elucidated the clinical and epidemiological characteristics of pediatric patients with HMPV infection, which might be instructive to policy development for the prevention and control of HMPV infection and might provide important clues for future HMPV research endeavors.

New antimony fluorooxoborates with strong birefringence and unprecedented structural characterisation.

Fluorooxoborates constitute a rich source of optical crystals due to their structural diversity and excellent performance. Antimony fluorooxoborates with stereochemically active lone pairs of electrons still have not been found, although the first antimony borate was discovered several years ago. In this study, we have achieved the successful synthesis of the first antimony(III) fluorooxoborate with an unprecedented [B2O4F]∞ chain, namely SbB2O4F. Remarkably, SbB2O4F shows strong birefringence (0.171@1064 nm) and short UV cutoff edges (about 220 nm) according to calculations. The birefringence of SbB2O4F mainly originates from the highly distorted [SbO4] groups.

PbTeB4O9: a lead tellurium borate with unprecedented fundamental building block [B4O10] and large birefringence.

Herein, the first lead tellurium borate, PbTeB4O9, with an unprecedented fundamental building block [B4O10] was successfully synthesized. The near-parallel alignment of [B4O10] groups and [TeO3] polyhedra resulted in a high birefringence (0.099@1064 nm). The structure-property relationship was discussed by using the first-principles calculations.

Bisphenol A induces non-alcoholic fatty liver disease by promoting the O-GlcNAcylation of NLRP3.

Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease. The mechanism by which bisphenol A (BPA) promots NAFLD remains unclear. Palmitic acid (PA) and lipopolysaccharide (LPS) were used to simulate NAFLD in HepG2 cells in vitro. Total cholesterol (TC), triglyceride (TG) content, and lipid accumulation were measured to evaluate lipid metabolism. The caspase-1-stained cells and NLRP3 inflammasome-associated proteins were evaluated for pyroptosis. Western blot analysis was used to detect protein levels and co-immunoprecipitation (Co-IP) was used to detect the association between the proteins. Cycloheximide (CHX) treatment combined with western blot was performed to access protein stability. This data have shown that BPA induces lipid metabolism dysfunction and pyroptosis by upregulating O-GlcNAc transferase (OGT) level. NLRP3 directly interacts with OGT, and elevated OGT enhanced the stability of NLRP3 protein. BPA promoted OGT-mediated O-GlcNAcylation to stabilised NLRP3, thus accelerating NAFLD progress in vitro. Our study reveals that BPA, as an environmental factor, may be involved in the promotion of NAFLD, and that targeting NLRP3 and OGT may inhibit BPA's induction of NAFLD.

Hydroxyl-Driven Enhanced Birefringence in Borophosphates.

Borophosphates have become promising candidates for ultraviolet or deep-ultraviolet functional crystals. Through high-temperature solution method, four new borophosphates, K2B2P2O9, (NH4)2BP2O7(OH), K2BP2O7(OH), and P21/c-(NH4)2B2P3O11(OH), were acquired successfully. Single crystal X-ray diffraction suggests that K2B2P2O9, (NH4)2BP2O7(OH), and K2BP2O7(OH) belong to the noncentrosymmetric space group, while P21/c-(NH4)2B2P3O11(OH) belongs to the centrosymmetric compound. It is worth mentioning that K2B2P2O9, (NH4)2BP2O7(OH), and K2BP2O7(OH) present the new fundamental building blocks [B2P2O11], [BP2O10H], and [BP2O9(OH)], respectively, as far as we know. Compared with K2B2P2O9, (NH4)2BP2O7(OH), K2BP2O7(OH), and P21/c-(NH4)2B2P3O11(OH) exhibit a larger optical anisotropy, further confirming the positive effect of hydroxyl groups on birefringence. UV-vis-NIR diffuse reflectance spectra display that K2B2P2O9 and (NH4)2BP2O7(OH) have short UV cutoff edges. Meanwhile, theoretical calculations were conducted to comprehend their optical properties and electronic structures.

Birefringence Regulation by Clarifying the Relationship Between Stereochemically Active Lone Pairs and Optical Anisotropy in Tin-based Ternary Halides.

It is important to establish and clarify the relationship between stereochemically active lone pairs and birefringence, since it is one of the significantly effective routes to explore birefringent crystals by introducing Sn-centered polyhedra with stereochemically active lone pairs. Herein, four tin(II)-based ternary halides A3 SnCl5 and ASn2 Cl5 (A=NH4 and Rb) have been synthesized successfully. The experimental birefringence of Rb3 SnCl5 and RbSn2 Cl5 is larger than or equal to 0.046 and 0.123@546 nm, respectively. Through investigating the alkali or alkaline-earth metal tin(II)-based ternary halides, the structure-performance relationship has been concluded between stereochemically active lone pairs and optical anisotropy. It is beneficial to the analysis and prediction of birefringence in tin-based halides and provides a guide for exploring tin(II)-based optoelectronic functional materials.

Stereochemically Active Tin(II)-Induced Enhancement of Birefringence in SnII SnIV (PO4 )2 and SrSn(PO4 )PO2 (OH)2.

Two new tin(II) phosphates, SnII SnIV (PO4 )2 and SrSn(PO4 )PO2 (OH)2 , were synthesized by the high-temperature solution method and hydrothermal method, respectively. Theoretical study indicates that by introducing tin(II) with stereochemical activity lone pairs (SCALP) in metal phosphates, the birefringence was enhanced, 0.048@1064 nm for SnII SnIV (PO4 )2 and 0.080@1064 nm for SrSn(PO4 )PO2 (OH)2 .

Na2BaB12O18F4: A Mixed Alkali/Alkaline-Earth Metal Fluorooxoborate with Two Unprecedented Interpenetrating Three-Dimensional B-O/F Anionic Networks and a Short Ultraviolet Cutoff Edge.

Fluorooxoborates are promising yet largely untapped crystal materials for linear and nonlinear optical applications. The introduction of a strong electronegative F atom into an oxyboron anionic group offers a virtually unlimited chance for structural engineering and ultimately purposeful tuning of the macroscopic optical properties of the crystal. Herein, a new mixed alkali/alkaline-earth fluorooxoborate, Na2BaB12O18F4, was synthesized in a closed system. Na2BaB12O18F4 features a [B6O11F2] fundamental building unit (FBB), which polymerizes into two new (first example) independent interpenetrating three-dimensional (3D) B-O/F anionic networks constructed entirely from BO3 and BO3F units. Based on optical characterizations and the first-principles calculations, Na2BaB12O18F4 exhibits a moderate birefringence (0.054 @ 1064 nm) and a short ultraviolet (UV) cutoff edge (below 190 nm). The successful synthesis and characterization of Na2BaB12O18F4 may speed up the subsequent discovery of other mixed alkali/alkaline-earth metal fluorooxoborates.

Recent Development of SnII , SbIII -based Birefringent Material: Crystal Chemistry and Investigation of Birefringence.

The combination of SnII or SbIII with π, non-π-conjugated units has produced birefringent crystals with birefringence ranging from 0.005 to 0.468@1064 nm. It is proven that introducing SnII or SbIII into crystals is a feasible strategy to enlarge the birefringence, which not only promotes the miniaturization of fabricated devices, but also effectively modulates polarized light. Herein, recently discovered SnII , SbIII -based birefringent crystals with birefringence investigated are summarized, including their crystal structure and optical properties, especially birefringence. This review also presents the influence of SnII , SbIII with stereochemically active lone pair on the optical anisotropy. We hope that this work provides a clear perspective on the crystal chemistry of SnII , SbIII -based optical functional crystals and promotes the development of new birefringent crystals with large optical anisotropy.

Noncentrosymmetric versus Centrosymmetric: Halogen Induced Variable Coordination Modes of Sn2+ and Structural Transition in Sn3B3O7X (X = Cl and Br).

Two new borate halides, Sn3B3O7X (X = Cl and Br), were successfully synthesized via introducing Sn2+ with lone-pair and halogen into borate. Interestingly, halogen-induced variable coordination modes of Sn2+ and anion frameworks make them crystallize in different space groups, from noncentrosymmetric (Pna21) to centrosymmetric (Pbca). Sn3B3O7Cl possesses an SHG response of about 0.5 times that of KDP, while Sn3B3O7Br exhibits a large birefringence (0.123@1064 nm). The theoretical calculations were performed to elucidate the structure-property relationships.

Sn3B10O17Cl2 Achieving Birefringence Enhancement by Stereochemical Activity Lone Pair.

Sn3B10O17Cl2 was successfully obtained for the first time under the sealed environment and crystallized in the space group Pbcn belonging to the orthorhombic system, which is featured by the fundamental building blocks [B5O11] that are linked to construct a three-dimensional framework with Cl and Sn atoms located inside and at the edge of the channel to balance the charge. Moreover, the optical performance measurement shows that Sn3B10O17Cl2 owns a cutoff edge of about 280 nm. Theoretical study indicates its large optical anisotropy with the birefringence 0.125@546 nm; meanwhile, the structure-performance relationships were analyzed by the first-principle calculation.

An excellent deep-ultraviolet birefringent material based on [BO2]∞ infinite chains.

Birefringent materials play indispensable roles in modulating the polarization of light and are vital in the laser science and technology. Currently, the design of birefringent materials operating in the deep-ultraviolet region (DUV, λ ≤200 nm) is still a great challenge. In this work, we developed a new DUV birefringent crystal LiBO2 based on [BO2]∞ infinite chains in the Li-B-O system, which simultaneously achieves the shortest UV cutoff edge (164 nm) and the largest birefringence (≥0.168 at 266 nm) among all the reported borate-based DUV birefringent materials. Single crystals of LiBO2 with dimensions up to Ø55 × 34 mm3 were grown by the Czochralski method, providing access to large-sized single crystal with low cost. Moreover, it has a high laser damage threshold and stable physicochemical properties. These outstanding characters unambiguously support that LiBO2 can be an excellent birefringent material for DUV application.

Enhancement of Birefringence in Borophosphate Pushing Phase-Matching into the Short-Wavelength Region.

Borophosphates are very known for the short ultraviolet (UV) cutoff edge and have become the promising UV and deep-UV functional crystals candidates; however, tetrahedral [PO4] and [BO4] groups own weak anisotropy of polarizability and are not conducive to large birefringence, which hinders their application in the short-wavelength region. Improving their birefringence without compromising the band gap is the main research objective. By introducing the excellent birefringent functional groups, such as [B2O5], [BO2]∞ chain, [B2Ox(OH)5-x], and so forth into borophosphates, seven borophosphates with improved birefringence were successfully synthesized (Δn > 0.05@532 nm). Remarkably, among them, the centimeter-sized crystal of Rb3B8PO16 with a short deep-UV cutoff edge (175 nm) and large birefringence (Δn(exp.) ∼ 0.072@589.3 nm) exhibits the shortest phase-matching wavelength (222 nm), which makes Rb3B8PO16 a promising UV NLO crystal, while KB6PO10(OH)4 with deep-UV cutoff edge features the largest birefringence (Δn(exp.) ∼ 0.103@546 nm) in the reported borophosphate system, making KB6PO10(OH)4 a promising deep-UV birefringent crystal. This study not only provides feasible strategies for increasing the birefringence of borophosphates but also pushes phase-matching into the short-wavelength region.

Noncentrosymmetric Rare-Earth Borate Fluoride La2B5O9F3: A New Ultraviolet Nonlinear Optical Crystal with Enhanced Linear and Nonlinear Performance.

In crystal engineering, it is an effective and controllable approach to modify the electronic band structure and optimize crystal performances using rational chemical cosubstitution in a classic structure model. Herein, the noncentrosymmetric (NCS) rare-earth borate fluoride La2B5O9F3 was designed and synthesized successfully based on the extraordinarily stable M2B5O9X (M = Ca, Sr, Ba, Sn, Pb, and Eu; X = Cl, Br, and I) template. Moreover, all 70 rare-earth borate halides were discussed, and the ratio of crystallization in NCS group is only 17.1%, much lower than 34.9% in all anhydrous borates. Benefiting from the substitution of [MOX] by [LaOF] polyhedra with improved hyperpolarizability and anisotropy of polarizability, compared with the M2B5O9X family, La2B5O9F3 with optimized band structure exhibits the suitable SHG response (1.2 × KH2PO4 (KDP) @ 1064 nm), large band gap (6.58 eV), and moderate birefringence, which well achieves the optimal balance among the three critical parameters mentioned above for nonlinear optical (NLO) applications in the short-wavelength region. This work expands the research field of NLO materials to rare-earth borate fluorides and can lead to a better understanding of the role of rare-earth metal cations.

Variable dimensionality of the anion framework in four new borophosphates and fluoroborophosphates with short cutoff edges.

Two new borophosphates, Cs3B3P4O16 and Li(NH4)2B3P4O16, and two new fluoroborophosphates, K4B2P2O9F2 and Rb3B2PO5F4, have been obtained via the high-temperature solution method. Single-crystal X-ray diffraction indicates that all of them exhibit various anion frameworks although they crystallize in the same space group, P21/c. Two-dimensional (2D) [B3P4O16]∞ layers and a 3D [B3P4O16]∞ network can be found in Cs3B3P4O16 and Li(NH4)2B3P4O16, respectively, while isolated [B2P2O9F2] and [B2PO5F4] exist in K4B2P2O9F2 and Rb3B2PO5F4, respectively. The effect of the alkali metal cation size on the framework structures of Cs3B3P4O16 and Li(NH4)2B3P4O16 has been discussed in detail. The IR spectra confirm their structural validity. UV-Vis-NIR diffuse reflectance spectroscopy indicates that the new compounds exhibit short cutoff edges. In addition, theoretical calculations were carried out to understand their electronic structures and optical properties.

Sn2 PO4 I: An Excellent Birefringent Material with Giant Optical Anisotropy in Non π-Conjugated Phosphate.

Exploring non π-conjugated phosphate birefringent crystal with a large birefringence has been a great challenge. Herein, based on the unique two-dimensional layered structure in KBe2 BO3 F2 (KBBF), two new compounds, Sn2 PO4 I and Sn2 BO3 I, were designed and synthesized successfully, maintaining the layer structural feature and enhancing the optical anisotropy of crystals. In particular, the birefringence of Sn2 PO4 I is larger than or equal to 0.664 @546 nm, which is largest among the reported borates and phosphates, even surpassing commercial birefringent crystals YVO4 and TiO2 . This work indicates that a breakthrough in birefringence of inorganic compound was achieved. Also, it provides a guiding idea for exploring large birefringence materials in the future.

NaRbB3 O4 F3 : A New Fluorooxoborate with a Short UV Cutoff Edge Enriching the Structural Chemistry of Borate.

The combination of RbB3 O4 F2 and NaF generates a new member of fluorooxoborates, NaRbB3 O4 F3 , with a wide transparency range from the IR to DUV region. NaRbB3 O4 F3 shows a three-dimensional (3D) structure composed of 1D [B3 O4 F3 ]∞ chains, [NaO3 F3 ] and [RbO5 F5 ] polyhedra. The structural evolution from NaRbB3 O4 F3 to RbB3 O4 F2 , as well as the structural comparison between NaRbB3 O4 F3 and its identical stoichiometry compound, Li2 B3 O4 F3 were discussed in detail. The IR spectrum verifies its structural validity. The spectral measurement shows that the reflectance has no obvious change in the range of 175-300 nm, and its cutoff edge is below 175 nm. In addition, theoretical calculations are carried out to understand its electronic structure and optical properties.

Association of Clinical Severity With Family Affluence-Based Socioeconomic Status Among Hospitalized Pediatric Hand, Foot, and Mouth Disease Patients in Henan, China: A Single Hospital-Based Case Series Study.

BACKGROUND: The association between the clinical severity of hand, foot, and mouth disease (HFMD) inpatients and socioeconomic status (SES) is important for quantifying SES inequality in HFMD disease burden and informing decision-makers regarding medical subsidy and reimbursement policies. Here, this association was investigated using a quantitative SES measurement. METHODS: Laboratory-confirmed HFMD cases hospitalized at Henan Children's Hospital from February 15, 2017, to February 15, 2018, were invited. We utilized the revised Family Affluence Scale for family affluence-based SES measurement. Clinical severity was diagnosed based on central nervous system (CNS) complications, treatments, and length of stay. We applied logistic regression for association analyses and multiple imputation for missing data. RESULTS: A total of 1229 laboratory-confirmed HFMD inpatients responded. Adjusted by age, sex, rural residence, EV-A71 infection, and health-seeking behavior, CNS complications (odds ratio [OR], 2.72; 95% CI, 1.41-5.31), intensive care unit (ICU) admission (OR, 7.30; 95% CI, 2.21-25.97), and prolonged hospitalization (OR, 4.28; 95% CI, 2.44-7.58) were significantly associated with lower family affluence-based SES. These associations increased as the SES category descended. For EV-A71-infected inpatients, severe HFMD was significantly associated with low and intermediate SES. For non-EV-A71-infected inpatients, only the association of prolonged hospitalization with low SES increased significantly. Also, severe HFMD inpatients, especially those admitted to the ICU, incurred high hospitalization costs. CONCLUSIONS: The clinical severity of HMFD inpatients was significantly associated with family affluence-based SES. Severe HFMD inpatients were more likely to have lower SES than nonsevere inpatients and suffered a heavy economic burden. Therefore, medical subsidy and reimbursement policies should offer sufficient monetary support to severe HFMD inpatients to alleviate economic burden in low-SES populations and reduce potential SES inequality.

Li3La2(BO3)3 and Li1.75Na1.25La2(BO3)3: A Great Enhancement in Birefringence Induced by Optimal Arrangement of π-Conjugated [BO3] Units.

In virtue of the essential role in controlling polarized light, outstanding ultraviolet (UV) and deep-ultraviolet (DUV) birefringent crystals are imperative in many advanced optical instruments. To design the UV and DUV crystals with large birefringence, we paid more attention to combining the excellent gene, π-conjugated [BO3] unit and metal cations beneficial to blue-shift the cutoff edge; finally, two rare-earth borates Li3La2(BO3)3 and Li1.75Na1.25La2(BO3)3 have been synthesized using the high-temperature solution method. Compared with Na3La2(BO3)3, Li3La2(BO3)3 and Li1.75Na1.25La2(BO3)3 are isostructural, and the isolated [BO3] units are arranged nearly parallel to each other in the structure, which is conducive to generating a larger birefringence. The structural comparison between the two crystals and Na3La2(BO3)3 indicates that the various coordination environments of alkali metal cations play an important role in the evolution of the crystal structure from Li3La2(BO3)3 and Li1.75Na1.25La2(BO3)3 to Na3La2(BO3)3. This work can contribute to a better understanding of the enhancement in birefringence from Na3La2(BO3)3 (0.023 @ 1064 nm) to Li3La2(BO3)3 (0.078 @ 1064 nm) with the perspective of structure-property relationships. Meanwhile, the two title crystals possess the DUV cutoff edge (<190 nm), suggesting that they can be applied as the DUV birefringent crystals.

The First Mixed Calcium Zinc Borate with a Flexible [B8 O17 ] Fundamental Building Block and Short UV Cutoff Edge.

The first mixed calcium zinc borate with a new fundamental building block (FBB) [B8 O17 ], Ca1.13 Zn0.87 B8 O14 has been successfully synthesized. It exhibits two independent interpenetrating three-dimensional B-O anion networks constructed by [B8 O17 ] groups, enriching the structural diversity of B-O configurations. In particular, the UV-Vis-NIR diffuse-reflectance spectrum shows that it has a short UV cutoff edge (<195 nm).