The aim of this study was to describe clinical, imaging, and laboratory features of acute pulmonary embolism (APE) in patients with COVID-19 associated pneumonia. Patients with COVID-19 associated pneumonia who underwent a computed tomography pulmonary artery (CTPA) scan for suspected APE were retrospectively studied. Laboratory data and CTPA images were collected. Imaging characteristics were analyzed descriptively. Laboratory data were analyzed and compared between patients with and without APE. A series of 25 COVID-19 patients who underwent CTPA between January 2020 and February 2020 were enrolled. The median D-dimer level founded in these 25 patients was 6.06 μg/mL (interquartile range [IQR] 1.90-14.31 μg/mL). Ten (40%) patients with APE had a significantly higher level of D-dimer (median, 11.07 μg/mL; IQR, 7.12-21.66 vs median, 2.44 μg/mL; IQR, 1.68-8.34, respectively, P = .003), compared with the 15 (60%) patients without APE. No significant differences in other laboratory data were found between patients with and without APE. Among the 10 patients with APE, 6 (60%) had a bilateral pulmonary embolism, while 4 had a unilateral embolism. The thrombus-prone sites were the right lower lobe (70%), the left upper lobe (60%), both upper lobe (40%) and the right middle lobe (20%). The thrombus was partially or completely absorbed after anticoagulant therapy in 3 patients who underwent a follow-up CTPA. Patients with COVID-19 associated pneumonia have a risk of developing APE during the disease. When the D-dimer level abnormally increases in patients with COVID-19 pneumonia, CTPA should be performed to detect and assess the severity of APE.
In May 2016, a highly pathogenic avian influenza A(H5N8) virus strain caused deaths among 3 species of wild migratory birds in Qinghai Lake, China. Genetic analysis showed that the novel reassortant virus belongs to group B H5N8 viruses and that the reassortment events likely occurred in early 2016.
The rational design and fabrication of more multi-component (material-combination) 3D hierarchical heterostructures for high-performance pseudocapacitor applications still remains a challenge. Herein, we have designed and synthesized a 3D hierarchical heterostructure of MnO2 nanosheets or nanorods grown on an Au-coated Co3O4 porous nanowall array, resembling a sandwich configuration of Co3O4@Au@MnO2, by a facial and controllable electrochemical deposition process. Due to their unique self-assembling architecture and characteristics including porous Co3O4 nanowalls, ultrathin MnO2 nanosheets, and a high conductivity Au layer sandwiched between them, each component provides a much-needed critical function for the efficient use of metal oxides for energy storage. The synthesized 3D hierarchical heterostructures exhibited favorable electrochemical performances, such as a high specific capacitances of 851.4 F g(-1) at 10 mV s(-1) and 1532.4 F g(-1) at 1 A g(-1), good rate performance and an excellent long-term cycling stability (almost no degradation after 5000 cycles), which are better than those of the reported Co3O4 or MnO2 based electrode materials, and thus could be considered as perspective materials for high-performance electrochemical capacitors.
Single-crystal a-MnO 2 ultralong nanowires ($40 mm in length, $15 nm in diameter), which were synthesized by a simple polyvinylpyrrolidone (PVP) assisted hydrothermal route, exhibited a better electrical conductivity, a highest specific capacitance of 345 F g À1 at a current density of 1 A g À1 with high rate capability (54.7% at 10 A g À1 ) and good cycling stability.
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