Accelerated infected wound healing by probiotic-based living microneedles with long-acting antibacterial effect.

Delays in infected wound healing are usually a result of bacterial infection and local inflammation, which imposes a significant and often underappreciated burden on patients and society. Current therapies for chronic wound infection generally suffer from limited drug permeability and frequent drug administration, owing to the existence of a wound biofilm that acts as a barrier restricting the entry of various antibacterial drugs. Here, we report the design of a biocompatible probiotic-based microneedle (MN) patch that can rapidly deliver beneficial bacteria to wound tissues with improved delivery efficiency. The probiotic is capable of continuously producing antimicrobial substances by metabolizing introduced glycerol, thereby facilitating infected wound healing through long-acting antibacterial and anti-inflammatory effects. Additionally, the beneficial bacteria can remain highly viable (>80 %) inside MNs for as long as 60 days at 4 °C. In a mouse model of Staphylococcus aureus-infected wounds, a single administration of the MN patch exhibited superior antimicrobial efficiency and wound healing performance in comparison with the control groups, indicating great potential for accelerating infected wound closure. Further development of live probiotic-based MN patches may enable patients to better manage chronically infected wounds.

Different roles of interpersonal trust and institutional trust in motivating older adults to receive COVID-19 vaccines in Singapore.

Since the approvals of several vaccines against COVID-19 by the World Health Organization, a large body of research has studied the determinants of individuals' intention to be vaccinated against COVID-19 in a variety of societies. Vaccine intention is a complex construct rooted in the social context that informs the decision-making process. The underlying reasons for older adults' intention to receive the vaccination is even more important to health authorities in societies with large proportions of older adults. In this paper, we interview 27 women over age 55 in Singapore about their COVID-19 vaccine decision-making. Using a social-ecological framework of trust, we identify factors at both individual and institutional levels that build or undermine trust and underlie older women's decisions to receive COVID-19 vaccinations in an authoritarian regime. Findings show that both interpersonal trust and institutional trust contribute to vaccine uptake, however, trust can also contribute to delays in vaccination. Moreover, a sizable minority of respondents report that they were vaccinated not because of institutional trust, but because they felt compelled to do so. The results shed light on directions for future vaccination campaigns.

Alkali-Amide-Catalyzed One-Pot Aminoallylation of Aldehydes with Allylbenzenes.

The deprotonation of allylbenzene was successfully demonstrated with a catalytic alkali amide base (NaN(SiMe3)2). The deprotonated allyl anion could be trapped by in situ generated N-(trimethylsilyl) aldimines to provide value-added homoallylic amines (39 examples, 68-98% yields) in a one-pot manner with excellent liner selectivity. Compared with the previously reported method for the synthesis of homoallylic amines, this method does not need to use the preinstalled protection groups on the imines, which need to be removed after the reaction to obtain the N-H free homoallylic amine derivatives.

Analysis of urban carbon emission efficiency and influencing factors in the Yellow River Basin.

The Yellow River Basin is an energy-rich area. The low-carbon development of the Yellow River Basin is one of the ways to achieve ecological protection and high-quality development. Based on panel data from 2007 to 2019, the dynamic and static carbon emission efficiencies of 98 cities in the Yellow River Basin were calculated using the Undesirable Super Slacks-based model and the Global Malmquist-Luengerber index method, respectively, and the spatial effects of influencing factors were analyzed using the spatial Dubin model. Main conclusions are as follows: (1) The carbon emission efficiency of cities in the Yellow River Basin is different, and only a small numbers of cities have reached the effective state. (2) The main factor for the increase in the overall carbon emission efficiency of the whole Basin is technological progress, and the main factors for the improvement of carbon emission efficiency of different cities are various. (3) The direct effects of economic development level and industrial structure upgrading are significantly positive, the direct effects of technological development level, energy intensity, and opening up are significantly negative, and the indirect effects of population density are positive. The conclusions are of great significance for promoting low-carbon development, ecological protection and high-quality development in the Yellow River Basin.

One-Pot Rapid Access to Benzyl Silanes, Germanes, and Stannanes from Toluenes Mediated by a LiN(SiMe3)2/CsCl System.

Organo-silanes, germanes, and stannanes are considered to be conducive to the development of cross-coupling reactions because they are stable, nontoxic, and easy to handle. Using feedstock toluenes, one-pot direct benzylic C-H silylations, germylations, and stannylations are developed. Simply combining toluenes, LiN(SiMe3)2/CsCl, and R3MCl (M = Si, Ge, Sn) generates a diverse array of bench-stable benzyl silanes, germanes, and stannanes (38 examples, 53-90% yields). The syntheses developed here are easy to access on scale.

Benzylic Aroylation of Toluenes Mediated by a LiN(SiMe3)2/Cs+ System.

Chemoselective deprotonative functionalization of benzylic C-H bonds is challenging, because the arene ring contains multiple aromatic C(sp2)-H bonds, which can be competitively deprotonated and lead to selectivity issues. Recently it was found that bimetallic [MN(SiMe3)2 M = Li, Na]/Cs+ combinations exhibit excellent benzylic selectivity. Herein, is reported the first deprotonative addition of toluenes to Weinreb amides mediated by LiN(SiMe3)2/CsF for the synthesis of a diverse array of 2-arylacetophenones. Surprisingly, simple methyl benzoates also react with toluenes under similar conditions to form 2-arylacetophenones without double addition to give tertiary alcohol products. This finding greatly increases the practicality and impact of this chemistry. Some challenging substrates with respect to benzylic deprotonations, such as fluoro and methoxy substituted toluenes, are selectively transformed to 2-aryl acetophenones. The value of benzylic deprotonation of 3-fluorotoluene is demonstrated by the synthesis of a key intermediate in the preparation of Polmacoxib.

Public satisfaction with health care system in 30 countries: The effects of individual characteristics and social contexts.

In this article, the associations among individual socio-economic characteristics, the institutional set-up of health care systems, and satisfaction with the health care system are investigated. Data from the 2011 International Social Survey Program (30 countries, 34,212 respondents) is used. Multilevel analyses across countries have shown how the state financing context affects satisfaction at the individual level. Consistent with previous research, at individual level, personal experiences with medical providers, age, gender as well as income are significant predictors of satisfaction with the health care system. At the country level, real input indicators such as density of physicians and density of hospital beds are negative predictors of satisfaction with the health care system whereas the percentage of total health expenditures comprised by public sources is a positive predictor of satisfaction with the health care system. However, findings from the cross-level interactions indicate that the negative effect of lower income is more prominent in predominantly publicly-funded health care systems. Specifically, in primarily publicly-funded health care systems, the model-predicted probability of satisfaction with the health care system is higher, but the gap in the probability of satisfaction with the health care system between individuals with lower income and those with higher income is greater than that in mostly privately-financed health care systems. The findings in this study suggest that the future direction of health care system reform should be focused on balancing the distribution of resources between private and public sectors.

[Low-temperature response and cold tolerance at spike differentiation stage of winter wheat varieties sowed in spring].

A total of 10 winter wheat varieties were imported from the middle and lower reaches of the Yangtze River region in China. Those varieties were sowed in spring in Xinding basin area of Shanxi Province, and the field trials were performed for two years (2013-2014). The traits and physiological characteristics under low temperature stress including grain yield, total content of chlorophyll, osmotic adjustment, membrane system, ion leakage rate, contents of soluble sugar and soluble protein were investigated, and the cold tolerance levels of the wheat varieties were assessed. The results showed that low temperature stress led to increases in wheat leaf ion leakage rate, soluble sugar and protein contents, but obvious reduction of chlorophyll content. According to principal component analysis and cold tolerance (D value) , Yumai 10, Yangmai 20, and Yunmai 42 were classed as cold sensitive wheat varieties. Yangmai 13, Yumai 12, and Ningmai 13 were classed as stronger cold-resistant wheat genotypes, and showed stability through two-year field trials, with the D values being 0.665-0.659, 0.493-0.495, and 0.471-0.583, respectively, while the D values for the controls Ning 2038 and Xinchun 30 were 0.368-0.397, and 0.328-0.330, respectively. The grain yields of the cold resistant wheat varieties were significantly higher than that of the other varieties tested. Therefore, Yangmai 13, Yumai 12 and Ningmai 13 could be imported and used as the cold tolerant wheat varieties for North Plain of China.