Invasive pneumococcal diseases in Chinese children: a multicentre hospital-based active surveillance from 2019 to 2021.

This study aimed to provide data for the clinical features of invasive pneumococcal disease (IPD) and the molecular characteristics of Streptococcus pneumoniae isolates from paediatric patients in China. We conducted a multi-centre prospective study for IPD in 19 hospitals across China from January 2019 to December 2021. Data of demographic characteristics, risk factors for IPD, death, and disability was collected and analysed. Serotypes, antibiotic susceptibility, and multi-locus sequence typing (MLST) of pneumococcal isolates were also detected. A total of 478 IPD cases and 355 pneumococcal isolates were enrolled. Among the patients, 260 were male, and the median age was 35 months (interquartile range, 12-46 months). Septicaemia (37.7%), meningitis (32.4%), and pneumonia (27.8%) were common disease types, and 46 (9.6%) patients died from IPD. Thirty-four serotypes were detected, 19F (24.2%), 14 (17.7%), 23F (14.9%), 6B (10.4%) and 19A (9.6%) were common serotypes. Pneumococcal isolates were highly resistant to macrolides (98.3%), tetracycline (94.1%), and trimethoprim/sulfamethoxazole (70.7%). Non-sensitive rates of penicillin were 6.2% and 83.3% in non-meningitis and meningitis isolates. 19F-ST271, 19A-ST320 and 14-ST876 showed high resistance to antibiotics. This multi-centre study reports the clinical features of IPD and demonstrates serotype distribution and antibiotic resistance of pneumococcal isolates in Chinese children. There exists the potential to reduce IPD by improved uptake of pneumococcal vaccination, and continued surveillance is warranted.

Clinical features, treatment, and follow-up of OPPG and high-bone-mass disorders: LRP5 is a key regulator of bone mass.

Osteoporosis-pseudoglioma syndrome (OPPG) and LRP5 high bone mass (LRP5-HBM) are two rare bone diseases with opposite clinical symptoms caused by loss-of-function and gain-of-function mutations in LRP5. Bisphosphonates are an effective treatment for OPPG patients. LRP5-HBM has a benign course, and age-related bone loss is found in one LRP5-HBM patient. PURPOSE: Low-density lipoprotein receptor-related protein 5 (LRP5) is involved in the canonical Wnt signaling pathway. The gain-of-function mutation leads to high bone mass (LRP5-HBM), while the loss-of-function mutation leads to osteoporosis-pseudoglioma syndrome (OPPG). In this study, the clinical manifestations, disease-causing mutations, treatment, and follow-up were summarized to improve the understanding of these two diseases. METHODS: Two OPPG patients and four LRP5-HBM patients were included in this study. The clinical characteristics, biochemical and radiological examinations, pathogenic mutations, and structural analysis were summarized. Furthermore, several patients were followed up to observe the treatment effect and disease progress. RESULTS: Congenital blindness, persistent bone pain, low bone mineral density (BMD), and multiple brittle fractures were the main clinical manifestations of OPPG. Complex heterozygous mutations were detected in two OPPG patients. The c.1455G > T mutation in exon 7 was first reported. During the follow-up, BMD of two patients was significantly improved after bisphosphonate treatment. On the contrary, typical clinical features of LRP5-HBM included extremely high BMD without fractures, torus palatinus and normal vision. X-ray showed diffuse osteosclerosis. Two heterozygous missense mutations were detected in four patients. In addition, age-related bone loss was found in one LRP5-HBM patient after 12-year of follow-up. CONCLUSION: This study deepened the understanding of the clinical characteristics, treatment, and follow-up of OPPG and LRP5-HBM; expanded the pathogenic gene spectrum of OPPG; and confirmed that bisphosphonates were effective for OPPG. Additionally, it was found that Ala242Thr mutation could not protect LRP5-HBM patients from age-related bone loss. This phenomenon deserves further study.

Machine learning for the early prediction of acute respiratory distress syndrome (ARDS) in patients with sepsis in the ICU based on clinical data.

Background: Acute respiratory distress syndrome (ARDS) is a fatal outcome of severe sepsis. Machine learning models are helpful for accurately predicting ARDS in patients with sepsis at an early stage. Objective: We aim to develop a machine-learning model for predicting ARDS in patients with sepsis in the intensive care unit (ICU). Methods: The initial clinical data of patients with sepsis admitted to the hospital (including population characteristics, clinical diagnosis, complications, and laboratory tests) were used to predict ARDS, and screen out the crucial variables. After comparing eight different algorithms, namely, XG boost, logistic regression, light GBM, random forest, GaussianNB, complement NB, support vector machine (SVM), and K nearest neighbors (KNN), rebuilding a prediction model with the best one. When remodeling with the best algorithm, 10% was randomly selected to test, and the remaining was trained for cross-validation. Using the area under the curve (AUC), sensitivity, accuracy, specificity, positive and negative predictive value, F1 score, kappa value, and clinical decision curve to evaluate the model's performance. Eventually, the application in the model illustrated by the SHAP package. Results: Ten critical features were screened utilizing the lasso method, namely, PaO2/PAO2, A-aDO2, PO2(T), CRP, gender, PO2, RDW, MCH, SG, and chlorine. The prior ranking of variables demonstrated that PaO2/PAO2 was the most significant variable. Among the eight algorithms, the performance of the Gaussian NB algorithm was significantly better than that of the others. After remodeling with the best algorithm, the AUC in the training and validation sets were 0.777 and 0.770, respectively, and the algorithm performed well in the test set (AUC = 0.781, accuracy = 78.6%, sensitivity = 82.4%, F1 score = 0.824). A comparison of the overlap factors with those of previous models revealed that the model we developed performs better. Conclusion: Sepsis-associated ARDS can be accurately predicted early via a machine learning model based on existing clinical data. These findings are helpful for accurate identification and improvement of the prognosis in patients with sepsis-associated ARDS.

Ligand-assisted formation of mesoporous Zn-N-C to realize superior catalytic activity in solvent-free CO2 cycloaddition reactions.

Mesoporous nitrogen-doped carbon-anchored single atom Zn was synthesized through etching of ZIF-8 with 1,10-phenanthroline and subsequent pyrolysis based on the Kirkendall effect. The abundant pores and increased surface area promote CO2 adsorption and mass transfer, thus significantly improving the catalytic activity in solvent-free cycloaddition of epoxides with CO2.

Single Cell Map of Human Azoospermia Testis Caused by Cyclophosphamide Chemotherapy.

Chemotherapeutic drugs will affect the process of spermatogenesis. However, most current studies on the effects of chemotherapeutic drugs on spermatogenesis are based on mouse models, with a shortage of human body evidence. In addition, the mechanism of chemotherapeutic drugs causing spermatogenesis disorder is not clear. Therefore, we have collected the testicular tissues of an inguinal-lipoma patient whose testes were resected after chemotherapy and a patient who had normal spermatogenesis disorder and underwent single-nucleus RNA sequencing (snRNA-Seq). After quality control, we obtained a total of 27,957 high-quality cells, including 18,612 normal cells and 9,345 drug-treated cells, which were all used in analyzing the mechanism of chemotherapeutic drugs causing spermatogenesis disorder. This study has provided data resources and references for exploring the mechanism of chemotherapeutic drugs causing spermatogenesis disorder with the insight of protecting the spermatogenic abilities of male tumor patients receiving chemotherapy.

Design of High-Entropy Tape Electrolytes for Compression-Free Solid-State Batteries.

Advanced solid electrolytes with strong adhesion to other components are the key for the successes of solid-state batteries. Unfortunately, traditional solid electrolytes have to work under high compression to maintain the contact inside owing to their poor adhesion. Here, a concept of high-entropy tape electrolyte (HETE) is proposed to simultaneously achieve tape-like adhesion, liquid-like ion conduction, and separator-like mechanical properties. This HETE is designed with adhesive skin layer on both sides and robust skeleton layer in the middle. The significant properties of the three layers are enabled by high-entropy microstructures which are realized by harnessing polymer-ion interactions. As a result, the HETE shows high ionic conductivity (3.50 ± 0.53 × 10-4 S cm-1 at room temperature), good mechanical properties (toughness 11.28 ± 1.12 MJ m-3, strength 8.18 ± 0.28 MPa), and importantly, tape-like adhesion (interfacial toughness 231.6 ± 9.6 J m-2). Moreover, a compression-free solid-state tape battery is finally demonstrated by adhesion-based assembling, which shows good interfacial and electrochemical stability even under harsh mechanical conditions, such as twisting and bending. The concept of HETE and compression-free solid-state tape batteries may bring promising solutions and inspiration to conquer the interface challenges in solid-state batteries and their manufacturing.

Manipulating the Nanophase Separation of a Polymer-Salt Microfluid Generates an Advanced In Situ Separator for Component-Integrated Energy Storage Devices.

A polymer separator plays a pivotal role in battery safety, overall electrochemical performance, and cell assembly process. Traditional separators are separately produced from the electrodes and dominated by porous polyolefin thin films. In spite of their commercial success, today's separators are facing growing challenges with the increasing demand on the device safety and performance. As an attempt to address this urgent need, here, we propose a concept of in situ separator technology by manipulating the two-dimensional (2D) microfluid nanophase separation (2D-MFPS) of a poly(vinylidene difluoride)/lithium salt solution during drying. Particularly, nanophase separation is effectively regulated by low humidity, salt type, and compositions. For application studies, this 2D-MFPS is directly performed onto commercial electrodes under drying conditions with low humidity to fabricate a high-performance in situ separator with thickness and porous structures comparable to those of commercial Celgard separators. This in situ separator shows superior performance in high-temperature stability and wetting capability to a variety of liquid electrolytes. Finally, pouch cells with this in situ separator technology are successfully assembled with an extremely simplified separator-stacking-free process and demonstrate stable cycle performance due to the well-controlled porous structures and electrode-separator interface.

Single-atom copper catalyst for the S-arylation reaction to produce diaryl disulfides.

Single-atom Cu supported on CeO x nanorod catalysts (Cu1/CeO x ) have been synthesized through the anchoring of copper by terminal hydroxyl groups on the CeO x surface. The oxygen defect characteristics of the CeO x nanorods promote electron transfer between Cu and CeO x through a Ce-O-Cu interface, which realizes flexible electronic regulation of the Cu sites. Single-atom Cu species with an oxidation state of between +1 and +2 were formed, which was confirmed by X-ray photoelectron spectroscopy, X-ray fine structure spectroscopy, and electron paramagnetic resonance spectroscopy. Cu1/CeO x emerged as a catalyst with advanced catalytic performance for elemental sulfur in S-arylation using aryl iodides, achieving 97.1% iodobenzene conversion and 94.8% selectivity toward diphenyl disulfide. The substituted iodobenzene with different electronic or steric groups successfully realized S-arylation and produced the corresponding diaryl disulfides with high selectivity. The fully exposed single-atom Cu with flexible electronic characteristics successively realized oxidative addition or coordination of multiple substrates, making it possible to obtain diaryl disulfide with high selectivity.

Solvent-free oxidation of benzyl C-H to ketone with Co-Ni layered double hydroxide as the catalyst and O2 as the sole oxidant.

The aerobic oxidation of ethylbenzene is an effective way to produce acetophenone, in which solvent-free conditions and oxygen as the sole oxidant are the best choice. At present, the catalytic activity and selectivity are still at an unsatisfactory level, because efficient catalysts need to achieve both C-H bond activation and O2 activation. In this work, the 2-methylimidazole-induced hydrolysis strategy was used to prepare a new class of CoNi-layered double hydroxide (CoNi-LDH) materials with different metal ratios. High-Resolution Transmission Electron Microscopy (HRTEM) showed that CoNi-LDH had obvious weak crystallinity and a thin lamellar structure. X-ray Photoelectron Spectroscopy (XPS) reveals the consistency between the content of the M-O component in the host layer and the proportion of Co3+, among which CoNi-LDH with a feed ratio (Co : Ni) of 2 : 1 (Co2Ni-LDH) has the highest M-O content and Co3+ ratio. The formation of M-O is due to the H-vacancy generated by the breaking of the hydroxyl group, which can be used for the H abstraction of C-H bonds. The redox effect caused by M2+/M3+ facilitates the transfer of electrons, which promotes the activation of O2 to the superoxide radical anion (˙O2-). Thereby, Co2Ni-LDH shows the highest catalytic activity for the oxidation of ethylbenzene. Under solvent-free conditions and with oxygen as the sole oxidant, 97.8% conversion of ethylbenzene and 98.8% selectivity of acetophenone can be obtained. The excellent catalytic performance is related to the structure of CoNi-LDH, and is also the best when compared with the reported results. Various types of aromatic hydrocarbons containing benzyl C-H bonds can be effectively oxidized by CoNi-LDH to produce the corresponding ketone products.

Phenolic features and anthocyanin profiles in winemaking pomace and fresh berries of grapes with different pedigrees.

The total contents and antioxidant activities of phenolic compounds as well as anthocyanin profiles were analyzed and compared in fresh berries and fermented pomace of three grape cultivars with different pedigrees. The phenolic contents and antioxidant activities decreased significantly in skins (p < 0.05), while relatively large amounts of them were retained in seeds after fermentative maceration. Fermentative maceration also had a significant impact on the anthocyanin compositions. The proportions of anthocyanins with more stable structures, such as malvidin derivatives, methylated, diglucosides and nonacylated anthocyanins, increased significantly in the pomace skins (p < 0.05). There were obvious differences in phenolic features and anthocyanin profiles among the three cultivars. 'NW196', a wine hybrid of Vitis vinifera and V. quinquangularis, was characterized by the highest total anthocyanin contents and degree of diglucosylation. The results obtained in this study could contribute to the primary data for the development and utilization of winemaking pomace, especially from local non-Vitis vinifera grapes.

MIL-47(V)-derived carbon-doped vanadium oxide for selective oxidation of 5-hydroxymethylfurfural to 2,5-diformylfuran.

The development and transformation of biomass-derived platform compounds is a sustainable way to deal with the fossil fuel crisis. 5-Hydroxymethylfurfural (HMF) can be reduced or oxidized to produce many high-value compounds; however, it is challenging to effectively produce 2,5-diformylfuran (DFF) due to overoxidation. In this work, a carbon-doped V2O5 (C-V2O5) material was obtained through pyrolysis of MIL-47(V) nanorods, a typical metal-organic framework material. The X-ray diffraction patterns and X-ray photoelectron spectra showed that the graphitized carbon species were incorporated in C-V2O5. High-efficiency HMF oxidation, high specific selectivity for DFF and excellent recycling could be achieved with the C-V2O5 catalyst. Fourier-transform infrared spectroscopy combined with density functional theory (DFT) calculation revealed that graphitized carbon weakens the VO bond and promotes the formation of oxygen vacancies in C-V2O5, thus improving the catalytic activity in the oxidation of furfuryl alcohols. The V4+ induced by oxygen vacancies will be oxidized by O2 to form V5+, so that the cycle can be realized. It exhibits remarkable selectivity in the oxidation of different alcohols produced from biomass based on the relatively constant active sites in C-V2O5.

Corporate Digital Transformation and Green Innovation: A Quasi-Nature Experiment from Integration of Informatization and Industrialization in China.

In the era of the digital economy, the rise and application of digital technologies have led to a series of systematic changes and disruptive innovations within enterprises. Based on the quasi-natural experiment of "Integration of Informatization and Industrialization", this paper examines the economic consequences of digital transformation from the standpoint of corporate green innovation, utilizing China's listed manufacturing firms as the research object. Using the DID model, it is discovered that through the implementation of corporate digital transformation, the output of green innovation increases significantly. The conclusions are still robust when using the parallel trend test, PSM-DID, placebo test, and the test of deleting the sample entering the pilot in the current year. Extended analyses find that corporate digital transformation has a greater effect on green innovation in regions with weaker digital economy, in industries with less rivalry, and in firms with larger size. The conclusions of this paper not only advance research on digital transformation and its economic consequences, but also provides theoretical proof and practical insights for advancing corporate digital transformation and enhancing the green development system.

Bioactive Edible Sodium Alginate Films Incorporated with Tannic Acid as Antimicrobial and Antioxidative Food Packaging.

Currently, biodegradable and functional food packaging materials have attracted more and more attention due to their potential advantages. Biopolymers are one of the promising materials used to produce biodegradable food packaging films, and sodium alginate (SA) is one of the most used polysaccharides. In this work, we explored a novel edible sodium alginate (SA)/tannic acid (TA) film as biodegradable active food packaging material. The impact of TA concentration on the UV light blocking ability, transparency, water vapor barrier ability, mechanical strength, antioxidant, and antimicrobial activity of the SA-TA films was comprehensively investigated. Fourier transform infrared spectroscopy results revealed that strong hydrogen bonding was the main intermolecular interaction between SA and TA. As TA concentration in the films increased, the water vapor permeability (WVP) decreased from 1.24 × 10-6 to 0.54 × 10-6 g/m/h/Pa, the DPPH radical scavenging activity increased from 0.008% to 89.02%. Moreover, the incorporation of TA effectively blocked UV light and elevated antimicrobial activity against Escherichia coli. Overall, the SA films with TA exhibited better water vapor barrier ability, remarkable UV-light barrier ability and antioxidant activity while showing a slight decrease in light transmittance. These results indicated the potential application of TA as a functional additive agent for developing multifunctional food packaging materials.

Exploring and expanding the phenotype and genotype diversity in seven Chinese families with spondylo-epi-metaphyseal dysplasia.

Spondylo-epi-metaphyseal dysplasia (SEMD) is a heterogeneous group of disorders with different modes of inheritance and is characterized by disproportionate or proportionate short stature. To date, more than 30 disease-causing genes have been identified, and different types of SEMD exhibit greatly overlapping clinical features, which usually complicate the diagnosis. This study was performed to expand the clinical and molecular spectrum of SEMD among Chinese subjects and to explore their potential phenotype-genotype relations. We enrolled seven families including 11 affected patients with SEMD, and their clinical, radiographic, and genetic data were carefully analyzed. All the seven probands showed different degrees of short stature, and each of them exhibited additional specific skeletal manifestations; four probands had extraosseous manifestations. X-rays of the seven probands showed common features of SEMD, including vertebral deformities, irregular shape of the epiphysis, and disorganization of the metaphysis. Seven variants were identified in TRPV4 (c.694C> T, p.Arg232Cys), COL2A1 (c.654 + 1G > C; c.3266_3268del, p.Gly1089del), CCN6 (c.396 T> G, p.Cys132Trp; c.721 T>C, p.Cys241Arg), SBDS (c.258 + 2T> C), and ACAN (c.1508C> A, p.Thr503Lys) genes, and two of them were novel. Two families with TRPV4 variants showed considerable intrafamily and interfamily heterogeneities. In addition, we reported one case of SEMD with a severe phenotype caused by ACAN gene mutation. Our study expands the phenotype and genetic spectrum of SEMD and provides evidence for the phenotype-genotype relations, aiding future molecular and clinical diagnosis as well as procreative management of SEMD.

Convenient Synthesis of a Ru Catalyst Containing Single Atoms and Nanoparticles on Nitrogen-Doped Carbon with Superior Hydrogen Evolution Reaction Activity in a Wide pH Range.

Ruthenium, which is relatively cheap in precious metals, has become a popular alternative for a hydrogen evolution reaction (HER) catalyst because of its corrosion resistance and appropriate metal-H bond strength. Convenient synthesis and active site regulation are conducive to stimulating the excellent catalytic performance of Ru as much as possible. Herein, using the mature mesoporous nitrogen-doped carbon material as the support, the catalytic materials containing both single atom Ru and Ru nanoparticles were synthesized by impregnation using the solid-phase reduction method. The effect of reduction temperature on the dispersion state and electronic structure of Ru species has been fully studied using electronic and spectroscopic characterizations. The sample reduced at 300 °C has excellent HER activity with overpotentials of 10.8 and 53.8 mV to deliver 10 mA/cm2 in alkaline and acidic media, respectively, which is among the best activities in the reported results. Electrochemical impedance analysis shows that the reduction temperature has a great influence on the number of active sites and charge transfer impedance of the catalyst.

cAMP Is a Promising Regulatory Molecule for Plant Adaptation to Heat Stress.

With gradual warming or increased frequency and magnitude of high temperature, heat stress adversely affects plant growth and eventually reduces plant productivity and quality. Plants have evolved complex mechanisms to sense and respond to heat stress which are crucial to avoiding cell damage and maintaining cellular homeostasis. Recently, 33″,55″-cyclic adenosine monophosphate (cAMP) has been proved to be an important signaling molecule participating in plant adaptation to heat stress by affecting multi-level regulatory networks. Significant progress has been made on many fronts of cAMP research, particularly in understanding the downstream signaling events that culminate in the activation of stress-responsive genes, mRNA translation initiation, vesicle trafficking, the ubiquitin-proteasome system, autophagy, HSPs-assisted protein processing, and cellular ion homeostasis to prevent heat-related damage and to preserve cellular and metabolic functions. In this present review, we summarize recent works on the genetic and molecular mechanisms of cAMP in plant response to heat stress which could be useful in finding thermotolerant key genes to develop heat stress-resistant varieties and that have the potential for utilizing cAMP as a chemical regulator to improve plant thermotolerance. New directions for future studies on cAMP are discussed.

Psoralen Promotes Proliferation, Migration, and Invasion of Human Extravillous Trophoblast Derived HTR-8/Svneo Cells in vitro by NF-κB Pathway.

Recurrent spontaneous abortion (RSA) is a kind of pathological pregnancy, and abnormal function of trophoblast cells may be related to a variety of pregnancy complications including RSA. Psoralen is an effective ingredient extracted from Cullen corylifolium (L.) Medik. with multiple bioactivities mainly including anti-osteoporotic, anti-tumor, anti-inflammatory, and estrogen-like effects. However, the exact role of psoralen on trophoblast invasiveness has not been investigated thus far. In the present study, the effects of psoralen on the proliferation, migration, and invasion abilities of HTR-8/SVneo cells were evaluated by the CCK-8 and Transwell assays. The expression patterns of nuclear factor κB (NF-κB)/p65 and metalloproteinases (MMP)-2 and MMP-9 were characterized by further experiments including real-time quantitative polymerase chain reaction and Western blot. Indirect immunofluorescence was applied to track the NF-κB p65 translocation. Herein, we found that cell viability and invasive ability were promoted by psoralen in a concentration-dependent manner. Psoralen concentration-dependently enhanced both MMP-2 and MMP-9 expression and their activity of HTR-8/SVneo cells. Additionally, we observed accelerated nuclear accumulation and enhanced nuclear translocation of p65 in the presence of psoralen. Furthermore, invasiveness enhancement of psoralen on HTR-8/SVneo cells was partly eliminated by a NF-κB pathway inhibitor. Thus, our findings suggest that psoralen may serve as a potential repurpose drug candidate that can be used to induce migration and invasion of trophoblast cells through strengthening the NF-κB pathway.

Impact of a sleep promotion protocol on off-pump coronary artery bypass graft patients.

BACKGROUND: Sleep abnormalities frequently occur in intensive care unit (ICU) patients, and the consequences of sleep abnormalities in patients who undergo off-pump coronary artery bypass graft (OPCABG) surgery are particularly significant. Although many interventions have been reported to improve sleep, few sleep promotion protocols have been designed specifically for patients in cardiac ICUs. AIMS AND OBJECTIVES: This study aimed to explore the effects of an evidence-based sleep promotion protocol on patients who underwent OPCABG in a cardiac ICU. DESIGN: A quasi-experimental study was conducted in a comprehensive hospital in Shandong province of China. METHODS: Overall, 67 participants were recruited (37 in the control group and 30 in the intervention group). An evidence-based sleep promotion protocol was developed by a 10-member interprofessional collaborative team and then applied. Sound levels, light intensity, and the number of nocturnal interventions were compared between groups. The Chinese version of the Richards-Campbell Sleep Questionnaire (RCSQ) was used to compare intergroup sleep status on two consecutive postoperative nights. RESULTS: No significant differences were found for demographics or disease severity between the groups. In the intervention group, sound levels and light intensity were significantly lower at various times, and nocturnal interventions were significantly less frequent over the two consecutive nights. RCSQ scores were significantly higher in the intervention group for both nights. CONCLUSIONS: The sleep promotion protocol reduced sound levels, night-time light intensity, the number of nocturnal interventions, and improved sleep among OPCABG patients in a cardiac ICU. RELEVANCE TO CLINICAL PRACTICE: Evidence-based practice can help to promote good quality of care, improve patient outcomes, and advance nursing in clinical settings.

Facile synthesis of hexagonal α-Co(OH)2 nanosheets and their superior activity in the selective reduction of nitro compounds.

Novel hexagonal α-cobalt hydroxide nanosheets are synthesized through a 2-methylimidazole-induced hydrolysis strategy with cetyltrimethylammonium bromide (CTAB) as a surfactant. The weak alkaline environment provides favorable conditions for the formation of metastable α-Co(OH)2, while the same raw material will produce ß-Co(OH)2 when a strong alkali solution is used. CTAB plays a vital role not only in hexagonal oriented growth, but also in the formation of the hydrotalcite-like structure of α-Co(OH)2 with high crystallinity. The crystallinity of both α- and ß-Co(OH)2 is very poor without CTAB as a surfactant. The Co in this Co(OH)2-x layer presents most of the CoII and a small part of the CoIII, and the interlayer nitrate anion balances the positive charge of the host layer. The redox function produced by the CoII and CoIII of α-Co(OH)2 together with the large layer spacing jointly promotes the electron and mass transfer. The use of hydrazine hydrate for transfer hydrogenation involves the transport of protons and electrons produced by decomposition, and the rapid transport is bound to be conducive to the reduction process. Nitro compounds with varieties of functional groups can be smoothly reduced to the corresponding amines with high selectivity, when α-Co(OH)2 was used as a catalyst under mild conditions.

Genetics Evaluation of Targeted Exome Sequencing in 223 Chinese Probands With Genetic Skeletal Dysplasias.

Genetic skeletal dysplasias (GSDs) are a type of disease with complex phenotype and high heterogeneity, characterized by cartilage and bone growth abnormalities. The variable phenotypes of GSD make clinical diagnosis difficult. To explore the clinical utility of targeted exome sequencing (TES) in the diagnosis of GSD, 223 probands with suspected GSD were enrolled for TES with a panel of 322 known disease-causing genes. After bioinformatics analysis, all candidate variants were prioritized by pathogenicity. Sanger sequencing was used to verify candidate variants in the probands and parents and to trace the source of variants in family members. We identified the molecular diagnoses for 110/223 probands from 24 skeletal disorder groups and confirmed 129 pathogenic/likely pathogenic variants in 48 genes. The overall diagnostic rate was 49%. The molecular diagnostic results modified the diagnosis in 25% of the probands, among which mucopolysaccharidosis and spondylo-epi-metaphyseal dysplasias were more likely to be misdiagnosed. The clinical management of 33% of the probands also improved; 21 families received genetic counseling; 4 families accepted prenatal genetic diagnosis, 1 of which was detected to carry pathogenic variants. The results showed that TES achieved a high diagnostic rate for GSD, helping clinicians confirm patients' molecular diagnoses, formulate treatment directions, and carry out genetic counseling. TES could be an economical diagnostic method for patients with GSD.