Experimental Treatment with Favipiravir for COVID-19: An Open-Label Control Study

There is currently an outbreak of respiratory disease caused by a novel coronavirus. The virus has been named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the disease it causes has been named coronavirus disease 2019 (COVID-19). More than 16% of patients developed acute respiratory distress syndrome, and the fatality ratio was 1%–2%. No specific treatment has been reported. Herein, we examined the effects of favipiravir (FPV) versus lopinavir (LPV)/ritonavir (RTV) for the treatment of COVID-19. Patients with laboratory-confirmed COVID-19 who received oral FPV (Day 1: 1600 mg twice daily; Days 2–14: 600 mg twice daily) plus interferon (IFN)-α by aerosol inhalation (5 million international unit (IU) twice daily) were included in the FPV arm of this study, whereas patients who were treated with LPV/RTV (Days 1–14: 400 mg/100 mg twice daily) plus IFN-α by aerosol inhalation (5 million IU twice daily) were included in the control arm. Changes in chest computed tomography (CT), viral clearance, and drug safety were compared between the two groups. For the 35 patients enrolled in the FPV arm and the 45 patients in the control arm, all baseline characteristics were comparable between the two arms. A shorter viral clearance median time was found for the FPV arm versus the control arm (4 d (interquartile range (IQR): 2.5–9) versus 11 d (IQR: 8–13), P < 0.001). The FPV arm also showed significant improvement in chest CT compared with the control arm, with an improvement rate of 91.43% versus 62.22% (P = 0.004). After adjustment for potential confounders, the FPV arm also showed a significantly higher improvement rate in chest CT. Multivariable Cox regression showed that FPV was independently associated with faster viral clearance. In addition, fewer adverse events were found in the FPV arm than in the control arm. In this open-label before-after controlled study, FPV showed better therapeutic responses on COVID-19 in terms of disease progression and viral clearance. These preliminary clinical results provide useful information of treatments for SARS-CoV-2 infection.     

Effects of Ketone Bodies on Brain Metabolism and Function in Neurodegenerative Diseases

Under normal physiological conditions the brain primarily utilizes glucose for ATP generation. However, in situations where glucose is sparse, e.g., during prolonged fasting, ketone bodies become an important energy source for the brain. The brain’s utilization of ketones seems to depend mainly on the concentration in the blood, thus many dietary approaches such as ketogenic diets, ingestion of ketogenic medium-chain fatty acids or exogenous ketones, facilitate significant changes in the brain’s metabolism. Therefore, these approaches may ameliorate the energy crisis in neurodegenerative diseases, which are characterized by a deterioration of the brain’s glucose metabolism, providing a therapeutic advantage in these diseases. Most clinical studies examining the neuroprotective role of ketone bodies have been conducted in patients with Alzheimer’s disease, where brain imaging studies support the notion of enhancing brain energy metabolism with ketones. Likewise, a few studies show modest functional improvements in patients with Parkinson’s disease and cognitive benefits in patients with—or at risk of—Alzheimer’s disease after ketogenic interventions. Here, we summarize current knowledge on how ketogenic interventions support brain metabolism and discuss the therapeutic role of ketones in neurodegenerative disease, emphasizing clinical data.     

海绵负载纳米Al2O3复合吸附剂去除水中硒研究

研究制备了海绵负载纳米Al2O3微球的复合吸附剂(NAS),并用于对Se(Ⅳ)和Se(Ⅵ)的吸附。结果表明,合成的纳米Al2O3微球(NAO)的平均尺寸为200~400 nm,在海绵上负载NAO会使其分散性更好。当NAO负载量分别为80 mg/g和60 mg/g时,NAS对Se(Ⅳ)和Se(Ⅵ)的吸附性能为佳,分别需要60、120 min达到平衡,适应pH为2~5;两者均符合准2级动力学模型;NAS对Se(Ⅳ)、Se(Ⅵ)的最大吸附容量分别为137.2、143.9 mg/g,能很好地与Freundlich模型拟合,说明NAS表面不均匀,且属于多层吸附。经过2次的循环,对Se(Ⅳ)和Se(Ⅵ)的去除率有所降低,但均仍保持在一定的水平,说明NAS可再生循环利用。NAS作为一种新型吸附剂去除水中Se具有较好的应用前景。     

非连续采空区矿柱力学分析的数值模拟

为探讨非连续采空区矿柱力学原理，通过FLAC3D数值模拟技术，对下向水平分层进路式胶结充填采矿法开采形成的非连续采空区中矿柱的受力状态进行了分析。研究表明，非连续采空区中矿柱所受的力主要为覆岩的自重应力，水平应力对其影响不大；随着埋深的增加矿柱承受的垂直方向的力近似呈直线增加；随着非连续采空区跨度的增加（进路数量增加），非连续采空区受垂直方向的应力逐渐由围岩两侧向矿柱中间过渡。     

红岭矿18线南西翼通风系统技术改造

针对矿山18线南西翼矿体开采过程中存在的通风系统不完善、风量欠缺、污风无法及时排出等问题，运用风压平衡原理、网络优化技术、机站优化技术以及计算机网络模拟技术展开研究，拟定了3种可行的通风方案。经技术经济比较，确定了新掘18线905～855 m回风井（1.5 m），保留该井905 m 水平回风机站，并在855 m 水平新设1台K45 6 №12风机（18.5 kW）方案。数值模拟结果表明：18线南西翼通风系统总风量达到20.5 m3/s，井下风流的可调性和稳定性增强，为矿山的安全生产提供了有力保障。     

某铁矿隔水护顶矿柱厚度计算及安全影响预测

科学合理地确定矿山隔水护顶矿柱安全厚度是矿山安全生产的前提条件，为保障某铁矿地表民房、道路等建（构）筑物安全，防止矿山开采过程中产生的导水裂隙带贯通第四系含水层，采用荷载传递交汇线法、K.B.鲁别涅依他估算法和冒落带、导水裂隙带高度估算法3种理论分析方法对隔水护顶矿柱厚度进行计算，并利用数值模拟手段对留设隔水护顶矿柱后的开采过程安全影响进行了分析，对理论计算结果进行了验证。3种理论计算方法得出的隔水护顶矿柱厚度分别为14.3～17.3 m、17.5～31.4 m和41.8～57.4 m，推荐隔水护顶矿柱留设厚度为60 m。通过数值模拟分析得出，在留设60 m厚的隔水护顶矿柱的基础上，开采区域和隔水护顶矿柱位置产生的最大拉应力约0.47 MPa，矿山开采不会对隔水护顶矿柱造成破坏；地表产生的最大水平位移约5.8 cm，最大垂直位移约26.5 cm，最大倾斜为1.70 mm/m，最大曲率为0.20 mm/m2，最大水平变形值为0.70 mm/m，满足相关规范要求，预测矿山开采不会造成地表建（构）筑物破坏。     

公路隧道喷射混凝土套拱加固结构力学特性

为研究喷射混凝土套拱加固前后二次衬砌与混凝土套拱的受力状况,依托陕西汉中至留坝段八里关隧道,运用有限元软件建立隧道混凝土结构套拱加固分析模型,并通过现场监测获取二次衬砌与套拱间的接触压力、套拱格栅拱架钢筋应力、套拱混凝土应力,将数值模拟结果与现场测试结果相结合,得出套拱结构的一般受力变化规律。结果表明:套拱加固前衬砌结构的最不利荷载位置位于施工缝附近的拱顶、拱肩与拱脚处; 由于衬砌局部变形与温度应力的影响,套拱混凝土应力变化呈现反复“上升-下降-上升”最后趋于稳定的特点; 套拱的作用是控制二次衬砌的进一步变形,套拱施作后所承受荷载较小,套拱反作用力远小于围岩作用于衬砌的应力,在应力计算中不应将衬砌与套拱作为整体计算; 套拱结构数值模拟所得的结果与现场测试套拱结构内力(轴力、弯矩)的大小及分布相似度高,但在衬砌裂损严重部位,数值模拟所得结果误差较大,应以现场测试结果为准。     

Lipase‐catalyzed synthesis of aliphatic poly(β‐thioether ester) with various methylene group contents: thermal properties,crystallization and degradation

A series of novel aliphatic poly(β‐thioether ester)s with various methylene group contents were prepared by direct lipase‐catalyzed polycondensation of the monomer with an acid‐labile β‐thiopropionate group. The polycondensation reaction using immobilized lipase B from Candida antarctica was carried out in diphenyl ether at 90 °C. Poly(β‐thioether ester)s with high molecular weights of 20 500–57 000 Da and narrow polydispersities in the range 1.40–1.48 were obtained. Thermogravimetric analysis, differential scanning calorimetry and wide‐angle X‐ray diffraction were used to investigate the thermal properties and crystal structures of these polyesters. All the poly(β‐thioether ester)s were semicrystalline polymers and thermally stable up to at least 200 °C. In vitro degradation studies showed that they can rapidly degrade under acidic conditions by the hydrolysis of the β‐thiopropionate groups, suggesting their potential as acid‐degradable polymeric materials. © 2019 Society of Chemical Industry     

Photopolymerization synthesis of polyacrylic acid dispersant with methoxysilicon end groups and its application in a nano‐SiO2 aqueous system

In order to improve the dispersity and stability of the nano‐SiO₂ aqueous system with high solid content, a kind of polyacrylic acid dispersant with methoxysilicon end groups (KH590‐PAA) was synthesized by photopolymerization of acrylic acid (AA) initiated with (3‐mercaptopropyl)trimethoxysilane (KH590). After adding KH590‐PAA into the nano‐SiO₂ aqueous dispersion system (20 wt% solid content), the viscosity and the curing time of the system were measured with a rotational viscometer and the inverted bottle method. Moreover, the dispersion mechanism of KH590‐PAA for the nano‐SiO₂ aqueous system was researched by measuring the adsorption capacity, the particle size and the zeta potential of the nanoparticles with a conductivity meter, dynamic light scattering, SEM and TEM, respectively. The results showed that the methoxysilicon groups in KH590‐PAA could react with hydroxyl groups on the surface of nano‐SiO₂ in the process of stirring, which enhanced the adsorption capacity of the dispersant and then increased the surface charge of the particles. Therefore, electrostatic repulsion and steric hindrance effects between the SiO₂ nanoparticles could be further enhanced by adding the KH590‐PAA dispersant, and then the nano‐SiO₂ aqueous system exhibited better dispersity and stability. Besides, the dispersion properties of SiO₂ nanoparticles in water were closely related to the addition amount and the molecular weight of the KH590‐PAA dispersant. © 2018 Society of Chemical Industry     

Interleukin-1β Modulation of the Mechanobiology of Primary Human Pulmonary Fibroblasts: Potential Implications in Lung Repair

Pro-inflammatory cytokines like interleukin-1β (IL-1β) are upregulated during early responses to tissue damage and are expected to transiently compromise the mechanical microenvironment. Fibroblasts are key regulators of tissue mechanics in the lungs and other organs. However, the effects of IL-1β on fibroblast mechanics and functions remain unclear. Here we treated human pulmonary fibroblasts from control donors with IL-1β and used Atomic Force Microscopy to unveil that IL-1β significantly reduces the stiffness of fibroblasts concomitantly with a downregulation of filamentous actin (F-actin) and alpha-smooth muscle (α-SMA). Likewise, COL1A1 mRNA was reduced, whereas that of collagenases MMP1 and MMP2 were upregulated, favoring a reduction of type-I collagen. These mechanobiology changes were functionally associated with reduced proliferation and enhanced migration upon IL-1β stimulation, which could facilitate lung repair by drawing fibroblasts to sites of tissue damage. Our observations reveal that IL-1β may reduce local tissue rigidity by acting both intracellularly and extracellularly through the downregulation of fibroblast contractility and type I collagen deposition, respectively. These IL-1β-dependent mechanical effects may enhance lung repair further by locally increasing pulmonary tissue compliance to preserve normal lung distension and function. Moreover, our results support that IL-1β provides innate anti-fibrotic protection that may be relevant during the early stages of lung repair.