Global phylogeography and genomic characterization of blaKPC and blaNDM-positive clinical Klebsiella aerogenes isolates from China, 2016-2022.

Carbapenem-resistant Klebsiella aerogenes (CRKA), being one of the members of carbapenem-resistant Enterobacteriaceae (CRE), has caused great public health concern, but with fewer studies compared to other CRE members. Furthermore, studies on phylogenetic analysis based on whole genome Single-Nucleotide Polymorphism (SNP) of CRKA were limited. Here, 20 CRKA isolates (11 blaKPC-2-bearing and 9 blaNDM-1/5-harboring) were characterized by antimicrobial susceptibility testing, conjugation assay, whole genome sequencing (WGS) and bioinformatics analysis. Additionally, the phylogeographic relationships of K. aerogenes were further investigated from public databases. All isolates were multidrug-resistant (MDR) bacteria, and they demonstrated susceptibility to colistin. Most blaKPC-2 or blaNDM-1/5-carrying plasmids were found to be conjugative. Phylogenetic analysis revealed the clonal dissemination of K. aerogenes primarily occurred within clinical settings. Notably, some strains in this study showed the potential for clonal transmission, sharing few SNPs between K. aerogenes and KPC- and/or NDM-positive K. aerogenes isolated from various countries. The STs of K. aerogenes strains had significant diversity. WGS analysis showed that the IncFIIK plasmid was the most prevalent carrier of blaKPC-2, and, blaNDM-1/5 were detected on the IncX3 plasmids. The Tn6296 and Tn3000 transposons were most common vehicles for facilitating the transmission of blaKPC-2 and blaNDM-1/5, respectively. This study highlights the importance of continuous screening and surveillance by WGS for analysis of drug-resistant strains in hospital settings, and provide clinical information that supports epidemiological and public health research on human pathogens.

Effect of inoculated Daqu on the spontaneous fermentation of Chinese liquor.

Inoculated fermentation is widely used to improve the efficiency and quality of food production. However, it is still unclear how the inoculated multi-species starters influence food fermentation. Here we prepared two different types of Daqu, with/without the inoculation of Bacillus licheniformis in spontaneous Daqu fermentation, and studied their effects on liquor fermentation. These two types of Daqu were different in microbial community, and the inoculated Daqu had significantly higher relative abundance of Bacillus (69.2%) and lower relative abundance of Lactobacillus (3.2%) than those of Daqu without inoculation (Bacillus, 13.5%; Lactobacillus, 14.0%). After using with these two types of Daqu, metatranscriptomic analysis revealed that Kazachstania, Naumovozyma, Saccharomyces, Nakaseomyces and Lactobacillus were the transcriptional active genera during liquor fermentation. The transcription of Lactobacillus decreased on days 10 and 20 in liquor fermentation with the inoculated Daqu. The transcription of Kazachstania, Naumovozyma and Saccharomyces decreased on day 10 but increased on day 20 with the inoculated Daqu. Although lactate dehydrogenase decreased in Lactobacillus, alcohol dehydrogenase, aldehyde dehydrogenase and lactate dehydrogenase increased in Saccharomyces on day 20 in fermentation with inoculated Daqu, it indicated an extended succession of Saccharomyces in liquor fermentation. This would facilitate the increase of ethanol, acetic acid and lactic acid contents in liquor fermentation with inoculated Daqu. This work would be beneficial for improving Chinese liquor fermentation.

Enhancement of Second-Order Non-Hermitian Skin Effect by Magnetic Fields.

The non-Hermitian skin effect is a unique phenomenon in which an extensive number of eigenstates are localized at the boundaries of a non-Hermitian system. Recent studies show that the non-Hermitian skin effect is significantly suppressed by magnetic fields. In contrast, we demonstrate that the second-order skin effect (SOSE) is robust and can even be enhanced by magnetic fields. Remarkably, SOSE can also be induced by magnetic fields from a trivial non-Hermitian system that does not experience any skin effect at zero field. These properties are intimately related to to the persistence and emergence of topological line gaps in the complex energy spectrum in the presence of magnetic fields. Moreover, we show that a magnetic field can drive a non-Hermitian system from a hybrid skin effect, where the first-order skin effect and SOSE coexist, to pure SOSE. Our results describe a qualitatively new magnetic field behavior of the non-Hermitian skin effect.

Fluctuations in Planar Magnetotransport Due to Tilted Dirac Cones in Topological Materials.

Fluctuations in planar magnetotransport are ubiquitous in topological HgTe structures, in both tensile (topological insulator) and compressively strained layers (Weyl semimetal phase). We show that the common reason for the fluctuations is the presence of tilted Dirac cones combined with the formation of charge puddles. The origin of the tilted Dirac cones is the mix of the Zeeman term due to the in-plane magnetic field and quadratic contributions to the dispersion relation. We develop a network model that mimics the transport of tilted Dirac fermions in the landscape of charge puddles. The model captures the essential features of the experimental data. It should be relevant for the interpretation of planar magnetotransport in a variety of topological and small band gap materials.

Could the digital economy increase renewable energy and reduce carbon emissions? Empirical research on EKC in 67 countries.

The digital economy is considered important to achieve carbon peaking and carbon neutrality. This paper explores the impact of the digital economy on carbon emissions and renewable energy development using panel data for 67 countries from 2005-2019. The results show that there is an inverted U-shaped relationship between the digital economy and carbon emissions, which is consistent with the Environmental Kuznets Curve (EKC) hypothesis, and a U-shaped relationship with renewable energy consumption, which is consistent with the Renewable energy Kuznets Curve (RKC) hypothesis. Compared with gross domestic product (GDP), the digital economy is more likely to accelerate the process of energy transition and carbon reduction, which is a key factor for carbon peaking. In addition, it is also found that the turning point of the RKC precedes the EKC, which means that the RKC reaching its turning point is a prerequisite for the corresponding EKC to reach its peak.Therefore, the digital economy should be accelerated to push RKC to cross the turning point as soon as possible, thereby accelerating EKC to cross the turning point.

Effects of phosphogypsum on enzyme activity and microbial community in acid soil.

Phosphogypsum (PG) is a solid waste produced from decomposition of phosphate rock in sulfuric acid. It can improve the physicochemical properties of soil. However, the application of PG will inevitably change the living environment of soil microorganisms and lead to the evolution of the soil microbial community. The effects of PG (0, 0.01%, 0.1%, 1%, 10% PG) on soil respiration, enzyme activity and microbial community were studied systematically by indoor incubation experiments. The results showed that the addition of 0.01% PG had little effect on the soil physicochemical properties and microflora. The soil respiration rate decreased with the increase of PG; The activities of catalase, urease and phosphatase were decreased and the activities of sucrase were increased by 10% PG treatment, while 0.01% or 0.1% PG treatment improve the urease activity; Soil microbial community response was significantly separated by amount of the PG amendment, and the application of 10% PG reduced the abundance, diversity and evenness of soil bacteria and fungi. Redundancy analysis (RDA) showed that soil bacterial composition was mainly driven by electrical conductivity (EC) and Ca2+, while fungal composition was mainly driven by F- and NH4+. In addition, the application of PG increased the abundance of salt-tolerant microorganisms and accelerated the degradation of soil organic matter. Overall, These results can help to revisit the current management of PG applications as soil amendments.

Whole-Genome Analysis of blaNDM-Bearing Proteus mirabilis Isolates and mcr-1-Positive Escherichia coli Isolates Carrying blaNDM from the Same Fresh Vegetables in China.

The global spread of colistin or carbapenem-resistant Enterobacteriaceae (CRE) has been a pressing threat to public health. Members of Enterobacteriaceae, especially Proteus mirabilis and Escherichia coli, have been prevalent foodborne pathogens and such pathogens from fresh vegetables have triggered foodborne illness in China. However, reports about CRE, especially P. mirabilis from fresh vegetables, are still lacking. In this study, we identified five blaNDM-positive P. mirabilis and five blaNDM-positive generic E. coli concurrently from five fresh vegetables in two markets from China, and four of the five E. coli also carried mcr-1. The 10 isolates were characterized with methods including antimicrobial susceptibility testing, conjugation, whole-genome sequencing and phylogenetic analysis. All 10 isolates were multidrug-resistant (MDR). blaNDM-5 in five E. coli isolates and one P. mirabilis carrying blaNDM-5 was located on similarly transferable IncX3 plasmids, while transferably untypable plasmids were the carriers of blaNDM-1 in four P. mirabilis isolates from different types of vegetables/markets. mcr-1 in the four blaNDM-5-positive E. coli was located on similarly non-conjugative IncHI2 MDR plasmids lacking transfer region. Notably, ISCR1 complex class 1 integron capable of capturing blaNDM-1 was found on all untypable plasmids from P. mirabilis, and five copies of ISCR1 complex class 1 integron containing blaNDM-1 even occurred in one P. mirabilis, which showed high-level carbapenem resistance. Plasmid and phylogenetic analysis revealed that the blaNDM-positive P. mirabilis and E. coli from fresh vegetables might be derived from animals and transmitted to humans via the food chain. The concurrence of blaNDM-positive P. mirabilis and E. coli carrying both mcr-1 and blaNDM in different types of fresh vegetables eaten raw is alarming and threatens food safety. Sustained surveillance of these foodborne pathogens among fresh vegetables is urgent to ensure the health of food consumers. We report for the first time the concurrence of blaNDM-positive P. mirabilis and mcr-1-bearing E. coli carrying blaNDM from the same fresh vegetables.

Residues of polychlorinated biphenyls (PCBs) in a wild predatory fish from an e-waste site in South China between 2009 and 2016.

Crude electronic waste (e-waste) recycling has been banned due to the serious environmental pollution it caused, leaving many abandoned e-waste sites. However, information on the current levels and associated ecological risks of e-waste-derived contaminants such as polychlorinated biphenyls (PCBs) in e-waste site is limited. Wild fish, because they can accumulate high pollutant levels, are suitable indicators for environmental pollution monitoring and has been widely employed as biomonitoring. In this study, we investigated the changes in the levels and profiles of PCBs in a wild fish species, the northern snakehead (Channa argus), before (2009) and after (2016) the ban of crude e-waste recycling from a typical e-waste recycling site in South China. The mean total PCB concentration in the northern snakehead sampled in 2016 (343 ng/g ww) declined by 75% compared with that (1410 ng/g ww) in 2009. The contributions of less chlorinated congeners (tri-CBs and tetra-CBs) in the northern snakehead tended to decrease over the years, indicating that the lighter congeners are more easily eliminated than the heavier ones in the environment. Our findings suggested no fresh PCB input in these years, as well as the positive impacts of laws and regulations on the prohibition of e-waste recycling. The ecological risk assessment suggested that PCB exposure may have median to high risks to the wild fish and fish-eating wildlife that inhabit the e-waste site, even after the ban of crude e-waste recycling activities.

The Occurrence and Genomic Characteristics of mcr-1-Harboring Salmonella from Retail Meats and Eggs in Qingdao, China.

Salmonella are widely distributed foodborne pathogens and are often associated with food animal products. Colistin resistance mediated by mcr-1 is an increasing threat; however, data on the characteristics of mcr-1-harboring Salmonella among retail foods are still lacking. In this study, retail meats from 24 supermarkets and eggs from nine markets in Qingdao city were investigated to determine the presence and genomic characteristics of mcr-1-harboring Salmonella. We found the retail meats and eggs were highly contaminated by Salmonella, with detection rates of 17.5% (31/177) and 12.3% (16/130), respectively. A total of 76 Salmonella isolates were obtained in this study, and 77.6% showed multidrug resistance (MDR). The MDR proportion of egg isolates (97.5%) was significantly higher than that in meat isolates (55.6%) (p < 0.05). The most prevalent Salmonella serotypes were Typhimurium (56.6%) and Enteritidis (17.1%). Of the 76 Salmonella isolates, 40 possessed mcr-1. All 40 mcr-1-positive isolates were ST34 S. Typhimurium and were from eggs of eight brands. Different mcr-1-harboring isolates existed in the same egg, and some isolates from different egg samples or brands showed clonal relationships. The mcr-1 was located on similar IncHI2/HI2A MDR non-conjugative plasmids lacking transfer region, resulting in the failure of conjugation. The phylogenetic tree using genome sequences showed that the mcr-1-positive isolates from eggs clustered together with mcr-1-positive isolates from chicken and humans in China, revealing that mcr-1-positive egg-borne Salmonella might be derived from chicken and could potentially trigger outbreaks in humans. The high occurrence of mcr-1-harboring Salmonella in fresh eggs is alarming, and there is an urgent need to monitor mcr-1-harboring Salmonella in retail meats and eggs. We report for the first time the role of retail eggs in disseminating mcr-1-positive Salmonella and the risk of transmission of these MDR pathogens from retail food to humans should be evaluated comprehensively.

Clamping Fatigue Properties of Shrink-Fit Holder.

In order to explore the clamping fatigue properties of shrink-fit holders, ANSYS software was used in this study to analyze the thermal and contact stresses during the clamping process of the shrink-fit holder, and the fatigue analysis was performed by selecting the dangerous areas based on the two stresses. A numerical control shrink-fit holder clamping fatigue test device was manufactured, and the automatic clamping of the shrink-fit holder was executed in this study. After 500 clamping repetitions, a milling test was carried out on the shrink-fit bracket. By collecting the vibration signal of the workpiece during processing and measuring the change in the surface roughness of the workpiece, and then analyzing the change in the machining performance of the shrink-fit holder under different clamping times, we were able to compare and verify the accuracy of the finite element fatigue analysis.

Double tracheal stents reduce side effects of progression of malignant tracheoesophageal fistula treated with immunotherapy: A case report.

BACKGROUND: The protective effect of tracheal stents is reported to relieve airway obstruction and reduce side effects of rapid progression of malignant tracheoesophageal fistula (MTEF) after immunotherapy in this case with 10 mo follow-up. CASE SUMMARY: Two kinds of silicone stents were placed in the main airway of a 58-year-old male to relieve the airway obstruction caused by advanced esophageal carcinoma. The patient then received four doses of toripalimab. Subsequently, rapid, progressive deterioration of the original fistula was found. Although the fistula enlarged rapidly after immunotherapy, it remained covered completely, and likely because of this, his condition remained stable. Therefore, immunotherapy could be continued to treat the primary tumor. Despite these efforts, the patient died of the advancement of his esophageal cancer. CONCLUSION: Appropriately-sized tracheal stent placement combined with immune checkpoint inhibitors may improve the quality of life and survival of patients with MTEF.

Programming Rapid Functional Group Diversification into a Solid-State Reaction: Aryl Nitriles for Self-Assembly, Click Reactivity, and Discovery of Coexisting Supramolecular Synthons.

A method to rapidly diversify the molecules formed in organic crystals is introduced, with aryl nitriles playing a novel dual role as both hydrogen-bond acceptors and modifiable organic groups. The discovery of coexisting supramolecular synthons in the same crystal is also described. The general concept is demonstrated by using a bis(aryl nitrile) alkene that undergoes a hydrogen-bond-directed intermolecular [2+2] photodimerization to form a tetra(aryl nitrile)cyclobutane. The product is readily converted by click reactivity to a tetra(aryl tetrazole) and by hydrolysis to a tetra(aryl carboxylic acid). The integration of aryl nitriles into solid-state reactions opens broad avenues to post-modify products formed in crystalline solids for rapid diversification.

Quantum Monte Carlo study of topological phases on a spin analogue of Benalcazar-Bernevig-Hughes model.

We study the higher-order topological spin phases based on a spin analogue of Benalcazar-Bernevig-Hughes model in two dimensions using large-scale quantum Monte Carlo simulations. A continuous Néel-valence bond solid quantum phase transition is revealed by tuning the ratio between dimerized spin couplings, namely, the weak and strong exchange couplings. Through the finite-size scaling analysis, we identify the phase critical points, and consequently, map out the full phase diagrams in related parameter spaces. Particularly, we find that the valence bond solid phase can be a higher-order topological spin phase, which has a gap for spin excitations in the bulk while demonstrates characteristic gapless spin modes at corners of open lattices. We further discuss the connection between the higher-order topological spin phases and the electronic correlated higher-order phases, and find both of them possess gapless spin corner modes that are protected by higher-order topology. Our result exemplifies higher-order physics in the correlated spin systems and will contribute to further understandings of the many-body higher-order topological phenomena.

Secondary infection in severe and critical COVID-19 patients in China: a multicenter retrospective study.

BACKGROUND: Since 2020 COVID-19 pandemic became an emergent public sanitary incident. The epidemiology data and the impact on prognosis of secondary infection in severe and critical COVID-19 patients in China remained largely unclear. METHODS: We retrospectively reviewed medical records of all adult patients with laboratory-confirmed COVID-19 who were admitted to ICUs from January 18th 2020 to April 26th 2020 at two hospitals in Wuhan, China and one hospital in Guangzhou, China. We measured the frequency of bacteria and fungi cultured from respiratory tract, blood and other body fluid specimens. The risk factors for and impact of secondary infection on clinical outcomes were also assessed. RESULTS: Secondary infections were very common (86.6%) when patients were admitted to ICU for >72 hours. The majority of infections were respiratory, with the most common organisms being Klebsiella pneumoniae (24.5%), Acinetobacter baumannii (21.8%), Stenotrophomonas maltophilia (9.9%), Candida albicans (6.8%), and Pseudomonas spp. (4.8%). Furthermore, the proportions of multidrug resistant (MDR) bacteria and carbapenem resistant Enterobacteriaceae (CRE) were high. We also found that age ≥60 years and mechanical ventilation ≥13 days independently increased the likelihood of secondary infection. Finally, patients with positive cultures had reduced ventilator free days in 28 days and patients with CRE and/or MDR bacteria positivity showed lower 28-day survival rate. CONCLUSIONS: In a retrospective cohort of severe and critical COVID-19 patients admitted to ICUs in China, the prevalence of secondary infection was high, especially with CRE and MDR bacteria, resulting in poor clinical outcomes.

Super-Resonant Transport of Topological Surface States Subjected to In-Plane Magnetic Fields.

Magnetic oscillations of Dirac surface states of topological insulators are typically expected to be associated with the formation of Landau levels or the Aharonov-Bohm effect. We instead study the conductance of Dirac surface states subjected to an in-plane magnetic field in the presence of a barrier potential. Strikingly, we find that, in the case of large barrier potentials, the surface states exhibit pronounced oscillations in the conductance when varying the magnetic field, in the absence of Landau levels or the Aharonov-Bohm effect. These novel magnetic oscillations are attributed to the emergence of super-resonant transport by tuning the magnetic field, in which many propagating modes cross the barrier with perfect transmission. In the case of small and moderate barrier potentials, we identify a positive magnetoconductance due to the increase of the Fermi surface by tilting the surface Dirac cone. Moreover, we show that for weak magnetic fields, the conductance displays a shifted sinusoidal dependence on the field direction with period π and phase shift determined by the tilting direction with respect to the field direction. Our predictions can be applied to various topological insulators, such as HgTe and Bi_{2}Se_{3}, and provide important insights into exploring and understanding exotic magnetotransport properties of topological surface states.

Higher-Order Fabry-Pérot Interferometer from Topological Hinge States.

We propose an intrinsic three-dimensional Fabry-Pérot type interferometer, coined "higher-order interferometer," that is based on the chiral hinge states of second-order topological insulators and cannot be mapped to an equivalent two-dimensional setting because of higher-order topological obstructions. Quantum interference patterns in the two-terminal conductance of this interferometer are controllable not only by tuning the strength but also, particularly, by rotating the direction of the magnetic field applied perpendicularly to the transport direction. Remarkably, the conductance exhibits a characteristic beating pattern with multiple frequencies depending on the field strength and direction in a unique fashion. Our novel interferometer thus provides feasible and robust magnetotransport signatures for hinge states of higher-order topological insulators.

Cubane-forming cyclic dienes that exhibit orthogonal reactivities in the solid state.

Photoirradiation of a binary cocrystal composed of two different cyclic dienes generates a highly-symmetric cubane-like tetraacid cage regioselectively and in quantitative yield. The cage forms by a double [2+2] photodimerization of one of the diene cocrystal components. The second diene while photostable in the cocrystal reacts in a double [2+2] photodimerization as a pure form quantitatively to form a tetramethyl cubane-like cage. The stereochemistry of the cage is structurally authenticated.

Preparation and pore-forming mechanism of hydrogen bond and ionic bond double-driven chitosan-based mesoporous carbon.

Using chitosan as the carbon source, F127 as the template, and sodium tripolyphosphate as cross-linking agent, a hydrogen bond and ionic bond double-driven mesoporous carbon material was prepared via the sol-hydrothermal method and its formation mechanism was discussed. According to the results from FTIR, Raman, XPS, physical adsorption analyzer, SEM, TEM, and TG-IR, the mesoporous carbon material was formed under the synergistic effect of hydrogen bond and ionic bond has a mesoporous volume of 0.44 cm3/g, a BET surface area of 262 m2/g, and possesses the ideal unimodal distribution around 2.20 nm. The mesopores are originated from the degradation of hydrophobic segment PPO of F127, and the micropores come from the gases CO2, CO, NH3, CH4, tetraethylene glycol dimethyl ether, and 2,6-diisopropylphenyl isocyanate produced during the degradation of prepolymers. The maximum adsorption capacity of this mesoporous carbon for tannic acid (Sips model) at 30 °C is 70.4 mg/g.

Supramolecular construction of a cyclobutane ring system with four different substituents in the solid state.

Methods to form cyclobutane rings by an intermolecular [2 + 2] cross-photoreaction (CPR) with four different substituents are rare. These reactions are typically performed in the liquid phase, involve multiple steps, and generate product mixtures. Here, we report a CPR that generates a cyclobutane ring with four different aryl substituents. The CPR occurs quantitatively, without side products, and without a need for product purification. Generally, we demonstrate how face-to-face stacking interactions of aromatic rings can be exploited in the process of cocrystallization and the field of crystal engineering to stack and align unsymmetrical alkenes in CPRs to afford chiral cyclobutanes with up to four different aryl groups via binary cocrystals. Overall, we expect the process herein to be useful to generate chiral carbon scaffolds, which is important given the presence of four-membered carbocyclic rings as structural units in biological compounds and materials science.

Topological Phase Transitions in Disordered Electric Quadrupole Insulators.

We investigate disorder-driven topological phase transitions in quantized electric quadrupole insulators in two dimensions. We show that chiral symmetry can protect the quantization of the quadrupole moment q_{xy}, such that the higher-order topological invariant is well defined even when disorder has broken all crystalline symmetries. Moreover, nonvanishing q_{xy} and consequent corner modes can be induced from a trivial insulating phase by disorder that preserves chiral symmetry. The critical points of such topological phase transitions are marked by the occurrence of extended boundary states even in the presence of strong disorder. We provide a systematic characterization of these disorder-driven topological phase transitions from both bulk and boundary descriptions.