Clinical Characteristics and Outcomes of Type 2 Diabetes Patients Infected with COVID-19: A Retrospective Study

Diabetes and its related metabolic disorders have been reported as the leading comorbidities in patients with coronavirus disease 2019 (COVID-19). This clinical study aims to investigate the clinical features, radiographic and laboratory tests, complications, treatments, and clinical outcomes in COVID-19 patients with or without diabetes. This retrospective study included 208 hospitalized patients (≥ 45 years old) with laboratory-confirmed COVID-19 during the period between 12 January and 25 March 2020. Information from the medical record, including clinical features, radiographic and laboratory tests, complications, treatments, and clinical outcomes, were extracted for the analysis. 96 (46.2%) patients had comorbidity with type 2 diabetes. In COVID-19 patients with type 2 diabetes, the coexistence of hypertension (58.3% vs 31.2%), coronary heart disease (17.1% vs 8.0%), and chronic kidney diseases (6.2% vs 0%) was significantly higher than in COVID-19 patients without type 2 diabetes. The frequency and degree of abnormalities in computed tomography (CT) chest scans in COVID-19 patients with type 2 diabetes were markedly increased, including ground-glass opacity (85.6% vs 64.9%, P < 0.001) and bilateral patchy shadowing (76.7% vs 37.8%, P < 0.001). In addition, the levels of blood glucose (7.23 mmol·L⁻¹ (interquartile range (IQR): 5.80–9.29) vs 5.46 mmol·L⁻¹ (IQR: 5.00–6.46)), blood low-density lipoprotein cholesterol (LDL-C) (2.21 mmol·L⁻¹ (IQR: 1.67–2.76) vs 1.75 mmol·L⁻¹ (IQR: 1.27–2.01)), and systolic pressure (130 mmHg (IQR: 120–142) vs 122 mmHg (IQR: 110–137)) (1 mmHg = 133.3 Pa) in COVID-19 patients with diabetes were significantly higher than in patients without diabetes (P < 0.001). The coexistence of type 2 diabetes and other metabolic disorders is common in patients with COVID-19, which may potentiate the morbidity and aggravate COVID-19 progression. Optimal management of the metabolic hemostasis of glucose and lipids is the key to ensuring better clinical outcomes. Increased clinical vigilance is warranted for COVID-19 patients with diabetes and other metabolic diseases that are fundamental and chronic conditions.     

Annual and regional variations of aflatoxin B1 levels seen in grains and feed coming from Croatian dairy farms over a 5-year period

The aim of the study was to investigate annual and regional differences in the level of aflatoxin B₁ (AFB₁) in grains and dairy cattle feed. Maize (n = 972), wheat (n = 201), barley (n = 147), oat (n = 136), grain mixtures (n = 168), and dairy cattle feed (n = 325) were sampled from 2009 to 2013 on different farms and in different farm factories situated in four Croatian regions. The samples were analysed for AFB₁ using the validated ELISA immunoassay. AFB₁ was determined in 16.4% of all investigated samples, among which maize was proven to be the most contaminated, with 21.7% of the samples recovered during 2013 harbouring AFB₁ in concentrations over the permissible ones. Levels higher than permitted were observed in 17.9% and 12.3% of grain mixtures and dairy cattle feed, respectively, whereas concentrations of AFB₁ determined in other crops throughout the investigated period met the stipulated requirements. The results revealed the AFB₁ occurrence to be significantly (p < 0.05) dependent on the cultivation region, with the highest levels generally found in maize harvested in 2013 and consequently in grain mixtures and cattle feed that can most likely be associated with climatic conditions as the most critical factor for mould formation, and thus also AFB₁ production.     

Household endotoxin reduction in the Louisa Environmental Intervention Project for rural childhood asthma

Endotoxin exacerbates asthma. We designed the Louisa Environmental Intervention Project (LEIP) and assessed its effectiveness in reducing household endotoxin and improving asthma symptoms in rural Iowa children. Asthmatic school children (N = 104 from 89 homes) of Louisa and Keokuk counties in Iowa (aged 5-14 years) were recruited and block-randomized to receive extensive (education + professional cleaning) or educational interventions. Environmental sampling collection and respiratory survey administration were done at baseline and during three follow-up visits. Mixed-model analyses were used to assess the effect of the intervention on endotoxin levels and asthma symptoms in the main analysis and of endotoxin reduction on asthma symptoms in exploratory analysis. In the extensive intervention group, dust endotoxin load was significantly reduced in post-intervention visits. The extensive compared with the educational intervention was associated with significantly decreased dust endotoxin load in farm homes and less frequent nighttime asthma symptoms. In exploratory analysis, dust endotoxin load reduction from baseline was associated with lower total asthma symptoms score (Odds ratio: 0.52, 95% confidence interval: 0.29-0.92). In conclusion, the LEIP intervention reduced household dust endotoxin and improved asthma symptoms. However, endotoxin reductions were not sustained post-intervention by residents.     

Chemically modified organic/inorganic nanoporous composite particles for the adsorption of reactive black 5 from aqueous solution

In the present work, we report a chemically modified polyacrylamide/silica nanoporous composite adsorbent for the removal of reactive black 5 (RB5) azo dye from aqueous solutions. The composite adsorbent was synthesized in a packed bed and modified by ethylenediamine (EDA). The adsorbent was characterized by Fourier transformation infrared (FT-IR), thermogravimetric analysis (TGA), thermoporometry, Brunauer, Emmett and Teller (BET) method and scanning electron microscopy (SEM). Mechanical stability of the adsorbent was examined in a packed bed by following the back-pressure of the column. Pore diameter of the composite adsorbent in dry and wet states was estimated to be about 18.71 nm and 12.61 nm, respectively. Adsorption experiments were performed in batch mode and effect of various operational parameters on the adsorption capability of the adsorbent was studied systematically. The maximum adsorption capacity of the modified composites was found to be 454.5 mg RB5/g of adsorbent. The equilibrium data were analyzed by Langmuir, Freundlich, Sips, BET and Redlich–Peterson isotherm models and found to fit well to the BET isotherm. The data kinetically followed the pseudo-second-order model. High adsorption capacity, fast removal mechanism, and good mechanical stability are three advantages of the presented composite for the removal of RB5.     

The relationship between centrality and land use patterns: Empirical evidence from five Chinese metropolises

The relationship between location and land use patterns is one of the classic theoretical issues in urban studies. Classic models based on the monocentricity hypothesis have limitations in the interpretation of modern urban structure. China has experienced institutional transformation in recent decades, and the interaction of national government policy, market forces and the natural environment has influenced urban planning in Chinese metropolises, resulting in urban structures with special characteristics. This paper examines the distribution of location and land use intensity, and tested the Alonso model by the relationship between them in five Chinese metropolises using Point of Interest data, space syntax methodology, the grid weighted statistical method and the Geographically Weighted Regression (GWR) model. Universal patterns about the scaling relation between intensity of land use types and the centrality of location are revealed. The elasticity of land use types to location, from high to low sensitivity, is commercial, residential then industrial land in most of the five metropolises studied. The sensitivity sequence of land use studied suggests that the hypothetical model based on the classical Alonso model can explain the spatial structure of modern metropolises in China to some extent, especially for the commercial land. But the order of sensitivity of residential land and industrial land to location does not conform to the model. The spatial heterogeneity in land use intensity and centrality were explored and the factors embedded were discussed. It can be found that the relation between centrality and land use intensity conforms to power law. In most of the metropolises studied, when the scaling relation between land use intensity and centrality is super linear, the sequence of the frequency value from high to low are commercial, residential and industrial land; when the scaling relation is sublinear, the sequence of the frequency value is industrial, residential and commercial land.     

Prediction of risk factors of cyberbullying-related words in Korea: Application of data mining using social big data

The study examined a decision tree analysis using social big data to conduct the prediction model on types of risk factors related to cyberbullying in Korea. The study conducted an analysis of 103,212 buzzes that had noted causes of cyberbullying and data were collected from 227 online channels, such as news websites, blogs, online groups, social network services, and online bulletin boards. Using opinion-mining method and decision tree analysis, the types of cyberbullying were sorted using SPSS 25.0. The results indicated that the total rate of types of cyberbullying in Korea was 44%, which consisted of 32.3% victims, 6.4% perpetrators, and 5.3% bystanders. According to the results, the impulse factor was also the greatest influence on the prediction of the risk factors and the propensity for dominance factor was the second greatest factor predicting the types of risk factors. In particular, the impulse factor had the most significant effect on bystanders, and the propensity for dominance factor was also significant in influencing online perpetrators. It is necessary to develop a program to diminish the impulses that were initiated by bystanders as well as victims and perpetrators because many of those bystanders have tended to aggravate impulsive cyberbullying behaviors.     

Association of solid fuel use with risk of stunting in children living in China

Stunting adversely affects physical and mental outcomes of children. It has not been examined whether household air pollution from solid fuel combustion is a risk factor for stunting in children. In a total of 41,439 children aged 6-17 across China, height was measured using a unified protocol. Multivariable linear regression models and logistic regression models were used to assess the associations of solid fuel use for cooking/heating with stunting in children. Adjusted for covariates, cooking/heating with solid fuel was significantly associated with a lower z-score for height for age and sex (β = −0.21 [−0.32 to −0.09] and −0.17 [−0.31 to −0.03], respectively) and an increased risk of stunting with an estimated ORs of 1.34 [1.07~1.68] and 1.37 [1.02~1.83], respectively. The risk of stunting associated with solid fuel use was statistically significant in high-age children. And the effect was greater on girls than on boys, though the difference was not statistically significant. Our study suggested that Chinese children living in households using solid fuel had a significantly higher risk of stunting than those living in households using cleaner fuel.     

Postural strategy identification during drilling task for different materials and heights: Ergonomic risk assessment

Drilling is an activity carried out in both professional and domestic environments. In this context, knowing the postural strategies used by users is a challenge. The objective of this study is twofold: 1) to identify the different possible strategies for performing a piercing while characterizing them through quantitative biomechanical parameters related to the task; 2) to propose an evaluation of the ergonomic risks incurred by the users for each of the observed strategies. Thus, fourteen subjects carried out a drilling activity at two different heights and for two types of materials. The position of the gravity center projection in relation to the sustentation polygon as well as the angle between the axis connecting the two feet and the antero-posterior axis (drilling axis) were used to identify the different postural strategies. Three strategies respectively called “Inter-feet”, “Left foot” and “External strategy” and three sub-strategies were identified. Each has been characterized through the duration and the average and maximum forces applied during the drilling phase. Two of them, 0–30° and 30–60° Inter-feet strategies covered about 75% of the trials. Despite the presence of a lower score for the 30–60° and 60–90° External strategies, the ergonomic analysis through the Rapid Upper Limb Assessment revealed that regardless of the strategy used, the postures adopted presented risks of developing musculoskeletal disorders. Thus, the drilling activity must be considered with care.Relevance to industryThe identification and characterization of postural strategies is particularly interesting to better understand the organization of the drilling task and thus optimize productivity while ensuring operator safety.